Our customer advocates are available every day of the year, from 8 a.m. to 8 p.m. If you have a question give us a call at 1-888-494-2583 or TTY 1-800-377-1363 for the hearing impaired.
Self Service 24-7 Support
Get the information you need from a variety of resources. Some are available 24 hours a day, seven days a week.
|Send us an email at MACS@bcidaho.com
We will respond the next day, if not sooner.
|Interactive voice response
Call us at 1-888-494-2583 after hours.
Leave a message, we will call you back the next day.
Follow simple prompts for automated prior authorizations
or to check the status of a claim.
Log in to review claims and check prior authorization status. Access valuable heath information resources, find a pharmacy in your area or view drug list information.
|Still have questions, give us a call!
1-888-494-2583 or TTY 1-800-377-1363 for the hearing impaired
Call us to determine if a service is covered
this is called an organizational determination or a pharmacy exception. If you need a fast decision, we can help there too.
If we have not covered a service claim the way you think we should, you can ask us to reconsider the decision. This is called an appeal. We can help with your appeal by reviewing the situation and even obtain an independent review for you.
If you have a problem with how a service was provided, let us know. This is called a grievance. We will research the situation to see how it can be resolved.
Generally, we respond to your questions and issues the same day. Sometimes we must obtain medical records or do research. In these cases, we are still required to respond to you no later than the timeframes outlined below:
|Request||Standard Response||Expedited Response|
|Pharmacy organizational determinations||Within 72 hours||Within 24 hours|
|Pharmacy claims payment appeals||Within 7 days||Within 72 hours|
|Medical organizational determinations|
|Pre-service (Authorization)||Within 14 days||Within 72 hours|
|Post service (Claim)||Within 60 days|
|Grievances and other complaints||Within 30 days|
Medicare beneficiaries may enroll in Blue Cross of Idaho Medicare Advantage plans through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
Call from 8 am to 8 pm
7 days a week
3000 E Pine Ave.
Meridian, ID 83642-5996
P.O. Box 8406
Boise ID 83707-2406
If you have special needs, the information on this site may be available in other formats or languages. To find out more call 1-888-494-2583.
Blue Cross of Idaho is a PPO, HMO or HMO POS health plan with a Medicare contract. Enrollment in Blue Cross of Idaho depends on contract renewal.