CommercialAdministrativeMedium impact
PAP246 - Prompt Pay - Removed BlueCard claims for out-of-area membership from “exclusions” in number 4. as they are included in prompt pay regulation requirements.
Blue Cross of Idaho·ID·Medical Policy
Effective date
Dec 18, 2025
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho removed BlueCard claims for out-of-area membership from prompt pay exclusions, meaning these claims are now subject to prompt pay regulation requirements with 30-day processing timeframes for electronic claims and 45-day timeframes for paper claims.
Action Required
Immediately: Billing team should monitor BlueCard out-of-area claims processing times and track interest payments. Set up alerts in billing system to flag BlueCard claims that exceed 30 days (electronic) or 45 days (paper) processing time. Follow up on delayed payments as these claims now qualify for statutory interest payments if processing deadlines are missed.