CommercialPrior AuthHigh impact
PAP413 - Admission Notification and Requirements - Updated to clarify when to send inpatient notification or PA for an inpatient stay
Blue Cross of Idaho·ID·Medical Policy
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho updated PAP413 to clarify when providers must send inpatient notifications or obtain prior authorization for inpatient stays. This affects admission notification requirements and PA processes for all Blue Cross of Idaho providers.
Action Required
Immediately: All staff involved in inpatient admissions must review updated PAP413 policy at https://providers.bcidaho.com/policies-and-procedures/pap/pap413.page to understand clarified notification and prior authorization requirements. Update admission workflows to ensure compliance with revised notification timing and PA requirements. Train front desk and clinical staff on when to submit notifications versus PA requests for inpatient stays to prevent claim denials.