CommercialAdministrativeMedium impact
PAP412 - Adverse Medical Events - Added POA 1 exempt from POA reporting on electronic claims. Added link to CMS coding.
Blue Cross of Idaho·ID·Coding
Effective date
Aug 1, 2025
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho updated their adverse medical events policy to clarify that when submitting electronic claims (837i), POA indicator '1' (exempt from POA reporting) should be left BLANK, not populated with '1'. The policy also added a direct link to CMS coding guidelines for current exempt code lists.
Action Required
Immediately: Billing team must update electronic claims submission (837i) to leave POA indicator field BLANK for all ICD diagnosis codes exempt from POA reporting (previously marked with '1'). Continue using '1' only for hardcopy UB-04 claims. Verify billing system settings comply with this change and reference CMS website for current exempt code lists.