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If you are an Individual or Family Member, please register here.

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Non-contracting Independent Clinical Laboratory

 

To be considered a "Non-contracting" provider with Blue Cross of Idaho, please submit the following documentation for review. Any missing items may result in the return of incomplete documents or a delay in processing.

  • Provider information sheet
  • W-9
  • Must be licensed or registered in the state which they operate (attach copy)
  • Evidence of accreditation - Clinical Laboratory Improvement Amendment (CLIA) and participate with Medicare.

 

NOTE:  Non-contracting providers must meet Blue Cross of Idaho licensing and/or accreditation standards but are not required to sign a contract with Blue Cross of Idaho. Blue Cross of Idaho pays our members directly for covered services provided by non-contracting providers.

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Fax:  208-387-6818

Email:  PR2PI@bcidaho.com