All PlansAdministrativeMedium impact
PAP115 - Provider Payment of Member Premium - Alignment with approved alternate contract language
Blue Cross of Idaho·ID·Reimbursement
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho has updated policy PAP115 to align with approved alternate contract language regarding provider payment of member premiums. The core prohibition remains: healthcare providers, hospitals, and health systems cannot directly or indirectly pay premiums for patients' Blue Cross of Idaho coverage due to financial conflicts of interest.
Action Required
Immediately: Billing and compliance teams must ensure no arrangements exist where the practice pays or contributes to patients' Blue Cross of Idaho premiums. Review any financial assistance programs to confirm they comply with this policy. Note that claims may be reprocessed and premium payments refunded if violations are discovered.