Payer List

Please follow the Enrollment Instructions below to become an electronic submitter for Idaho Blue Cross.

Required Documents for those applying for new Submitter IDs

The following documents are required enrollment documents that must be completed, signed and returned to the Idaho Blue Cross office prior to initiation of electronic claims submission or inquiry.

1. EDI Registration Form

If the link listed above does not work properly, please go here:
https://www.bcidaho.com/edi_clearinghouse/index.asp

Then scroll down to Provider Information and click on “”EDI Registration Form”
(You may need to use Firefox, as Internet Explorer tends to have problems opening the form)

If you have any questions regarding this form or enrollment process, please send an email to EDIHelpDesk@BCIdaho.com

In the email please include your name, NPI, and Tax ID, so the representative can further assist you.

We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.

Our Vendor Information

EDI Registration Form

Section 1:

• Enter Today’s Date
• Select your business type
• Please enter your Business/Practice and Provider name
• Enter your Provider NPI Number
• Enter your Group NPI number (if applicable)
• Enter your Demographic Information
• Enter the Name, Phone and Email for the main contact person for your office
• Enter your EIN # (Tax ID number0

Section 2:

• Check the Box for “Provider is the Direct Submitter of Data”

Section 3:

• Select the appropriate HIPAA Transactions:
  • X12N5010A1 837 P (Professional) and/or
  • X12N5010A2 837 I (Institutional) and
  • X12N 5010X221- 835 (Remittances)
  • Enter your Blue Cross Provider ID

Section 4:

• Please enter the Software Vendor information for AXIOM Systems Inc. formerly Ivertex, that is provided in the table above.

Signature Section:

• The Office Manager or Provider must sign this application

Trading Partner Agreement

• Enter the Date and your Business/Provider Name in the first paragraph (You are the Trading Partner)
• Fill in the last page with your Business/Provider Name, Date, and Signature

Submitting your Forms

It is recommended that you keep a copy of this enrollment packet for your records. Please send the completed packet reflecting original signatures to:

Fax to:
Attn: EDI Help Desk
Blue Cross of Idaho Clearinghouse
208-331-7203
Or email to: EDIHelpDesk@BCIdaho.com

Waiting for a Response

Once the complete provider enrollment packet has been received, the documents will be processed. Processing will take approximately 1-2 weeks from the date of receipt.

After processing, a confirmation will be emailed, faxed, or mailed to you as notification to begin filing claims electronically. If neither confirmation nor a returned packet is received after two weeks, contact the EDI Help Desk by emailing: EDIHelpDesk@BCIdaho.com When you have the information from Blue Cross and are ready to submit your test claims, please call SolAce support at 602-439-2525.

Testing

Please have 25 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information. After you submit a test file, you will need to email their helpdesk to have them review the file. Once any errors have been resolved, you can request production approval so you can begin sending real claims.