Medicare AdvantageAdministrativeMedium impact
MAPAP102 - Contact Information - Update time frame for Inquiry response, removed verbiage that inquiry form will auto populate the claim details. Added information to not send medical records unless you are submitting 1st or 2nd level appeal.
Blue Cross of Idaho·ID·Reimbursement
Effective date
Jul 1, 2025
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho Medicare Advantage updated their inquiry response timeframe from unspecified to 60 days and clarified that medical records can only be submitted with first or second-level appeals, not with general claim inquiries. The system no longer auto-populates claim details in inquiry forms.
Action Required
Immediately: Update billing team procedures to expect 60-day response timeframes for Blue Cross of Idaho Medicare Advantage claim inquiries. Train staff to NOT submit medical records with general claim inquiries - only submit medical records when filing first or second-level appeals. Update internal documentation workflows accordingly.