Before You Begin
Have the contract details ready for each facility
Verify how your BCBS payers are named in your CMD system
Confirm which facilities need separate contract rates
Steps
Check your payer picklist to see how BCBS is listed for your different states. Available options depend on how payers are named in your CMD system.
Navigate to your contract setup and add your first BCBS contract. Select the appropriate BCBS payer from the dropdown (e.g., "BCBS" or "Blue Cross Idaho").
Select the specific facilities that this first contract applies to (e.g., Idaho facilities).
Create a second contract for your other state. Select the corresponding BCBS payer option (e.g., "BCBS" for Utah if that's how it's named in CMD).
Select the facilities that the second contract applies to (e.g., Utah facilities).
Verification / Expected Result
You will have multiple BCBS contracts, each tied to specific facilities with their respective rates. The system will automatically apply the correct contract based on the facility where services are provided.
Troubleshooting / Common Errors
Can't find the specific state BCBS payer in the dropdown:
Check how the payer is named in your CMD system
The state-specific BCBS may be listed under the general "BCBS" option rather than state-specific naming
Tips & Notes
💡 Tip: CMD payer naming determines what appears in your dropdown. If you see "Blue Cross Idaho" but not "Blue Cross Utah," Utah is likely listed as "BCBS" in CMD.
⚠️ Note: Each contract should be tied to facilities in the corresponding state where that specific rate agreement applies.
✅ Best Practice: Remember that BCBS contracts typically provide national coverage, but rates can vary by state and facility location — always assign contracts to the correct facilities to ensure accurate billing.
Related Resources
Contract Management Overview
Facility Setup and Configuration
Payer Management Guide