CommercialAdministrativeLow impact
PAP117 - Blue Cross of Idaho Member Attribution Methodology - Removed codes
Blue Cross of Idaho·ID · Family Medicine, Internal Medicine, General Practice +8 more·Medical Policy
Effective date
Mar 1, 2025
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho revised their member attribution methodology policy (PAP117) by removing certain CPT codes from their attribution algorithm. This affects which provider gets assigned responsibility for members in value-based contracts, but the specific removed codes are not listed in the policy text.
Action Required
No immediate billing changes required. This is an administrative change to Blue Cross of Idaho's internal member attribution algorithm for value-based contracts. Billing teams should be aware that member attribution may change for some patients, which could affect value-based contract calculations and care coordination responsibilities.