CommercialAdministrativeHigh impact
One-to-One for Healthcare Providers - Winter 2023 Edition
Blue Cross of Idaho·ID·Medical Policy
Effective date
Feb 1, 2023
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho is transitioning to a new claims processing system called Gemstone in February-March 2023, requiring providers to adapt to new 12-digit member IDs, multiple remittance advices, and updated provider numbers. The insurer is also implementing transition of care outreach programs for discharged inpatients.
Action Required
By February 1, 2023: Billing team must prepare for new 12-digit member IDs for Fully Insured and Balance Funded groups at renewal. Update billing systems to handle multiple remittance advices (Legacy with asterisk and new Gemstone). Verify clearinghouse can process increased weekly 835 files. Monitor for claims spanning multiple months that will be automatically split by service date.