Idaho Medical

Medicare of Idaho

  • Emdeon Link
  • Needs to be entered into Gems
  • Vendor Submitter ID: C2YW Vendor Name: Apex EDI Site ID: 0001 Division ID: 17011
  • Payer ID – SMID0

Medicare Enrollment Form

Medicaid of Idaho

  • Direct Link
  • Need to have a valid provider ID
  • Call (800) 685-3757 to verify enrollment  
  • Payer ID – IDMCD

Medicaid Enrollment Form

Medicaid ERA Enrollment Form

Blue Cross of Idaho

  • Direct Link
  • Need to have a valid provider ID
  • Payer ID – BLUEC

Blue Cross Enrollment Form

Blue Shield of Idaho

  • Direct Link
  • No Enrollment Forms
  • Payer ID – 00611

 

National Payers Requiring Enrollment

  • Railroad Medicare
  • DMERC (Region D)
  • ASHN

National Enrollment Forms