All PlansAdministrativeMedium impact
PAP416 - Trauma Center Designation and Payment Policy - Included reference to Hospital contract for specially contracted terms
Blue Cross of Idaho·ID · Emergency Medicine, Critical Care·Reimbursement
Effective date
Jun 1, 2025
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho updated their trauma center payment policy to include a reference directing hospitals to check their contracts for specially contracted trauma activation terms or rates. This administrative clarification helps ensure proper reimbursement for trauma services.
Action Required
Immediately: Billing team should review hospital contracts with Blue Cross of Idaho to identify any specially contracted trauma activation terms or rates that may differ from standard policy. Update billing procedures to apply contract-specific rates when applicable for trauma services using revenue codes 068x with G0390 and critical care codes.