ExchangeAdministrativeLow impact
PAP1004 - Tailored Network Responsibilities - Clearwater Provider Network (CPN) - Updated participating counties
Blue Cross of Idaho·ID·Medical Policy
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho updated the participating counties for the Clearwater Provider Network (CPN) tailored network plan in December 2025. The CPN now serves members in Clearwater, Idaho, Latah, Lewis and Nez Perce counties, requiring PCPs to coordinate referrals and gap authorizations for out-of-network care.
Action Required
Immediately: Verify current CPN network participation status and update patient eligibility verification processes to confirm which counties are covered under the Clearwater Provider Network. Billing team should ensure proper network status verification for members in Clearwater, Idaho, Latah, Lewis and Nez Perce counties to avoid incorrect benefit application.