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Heres everything you need to know about it. May 27, 2022: Current information on COVID-19 vaccines & treatment. This online tool lets you search healthcare providers hospitals medical services Once you sign in to your member account, your search results will only show you in-network options. Search Tools > Find a Provider; Be sure to check with your practice administrator to ensure you are authorized to use this tool and are familiar with and will abide by the confidentiality requirements for the information that you may access by using this tool. BCBSAZ makes it easy to find health insurance plans for Employers, Individuals & Families, Medicare and more. By law, an FEP member's medical policy is primary to the FEP member's elective supplemental policy, FEP BlueDental. Updates include: Evaluation and management (E&M) code increases of 2-3% overall. To view this file, you may need to install a PDF reader program. Blue Cross of Idaho members now have access to Sharecare, an app to help you eat better, lower stress and get more active! If you need registration assistance, contact Availity Client Services at800-282-4548. 800-365-2345. If you cite to specific authorities, please include adequate details for Commission staff to be able to reference the source material (if you reference online materials, please include a link to the source page). The Commission has also created a separate page to answer frequently asked questions. The Blue Cross Blue Shield Association (BCBSA) partnered with the GRID Dental Corporation (GDC) to administer FEP BlueDental. We're invested in the people of Idaho. Availity Fee Schedule tool allows professional providers participating with BCBSNM to electronically request a range of up to 20 procedure codes and immediately receive the contracted price allowance for the patient services you perform. DO understand that Commission staff are legal, not medical or coding, professionals, and that the dispute process is a legal, not medical, forum. Scrum Master (Former Employee) - Meridian, ID - December 9, 2019. For more information, view our privacy policy. In 2021, Blue Cross of Idaho's CEO Charlene Maher gave an impassioned speech to the Boise Metro Chamber describing the many ways our company supports the people and businesses of Idaho. Email ourProvider Education Consultants. A link to this fee schedule is available in Availity by selecting the Claims & Payments menu, Fee Schedule Listing, and then choose the appropriate Additional Fee Schedules for Medicare. DO include a brief narrative description of the issues, actions taken, communications that occurred, or other relevant information that might bear on the calculation of the acceptable charge or support your position on the issue. Albertsons companies, including Jewel-Osco and Safeway, you can find a provider here. Blue Cross of Idaho has teamed with Curves to offer special rates at one of the premier, women-only fitness programs in Idaho. . Blue Cross of Idaho | 8,391 followers on LinkedIn. Information accessed by the Availity Fee Schedule tool is subject to a Confidentiality Agreement with BCBSNM. Only users with an active user ID and password who currently use Blue Access for Providers to view the National Drug Code Reimbursement Schedule should take these steps between May 2 and June 30, 2022, to maintain your existing password: If you dont take these steps, youll need to reset your password after June 30. To view this file, you may need to install a PDF reader program. Contracting providers with Blue Cross of Idaho's Traditional network are in-network providers for the GRID+ network for these dental plans. Heres what you need to know for Open Season, running Nov. 14Dec.12, 2022. Remember, you can file your motion or response via email by sending it to. This tool is located in the Availity portal under Claims & Payments navigation menu. 1-800-732-1209. Most PDF readers are a free download. We've listed the participating Curves locations below. BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity. Fast paced and production oriented. Blue Cross NC Providers ICD-10, fee schedules, mulitple radiology RVU table, and revenue code listing. Idaho Medicaid Website. Call our Internet Help Desk at 888-706-0583. February 24, 2022: Update on COVID-19 Rapid Tests. You can learn more about cost-sharing, coverage limitations, and if you need a referral to see a specialist. The overall atmosphere of the place was good. The member's benefits varydepending on the policy, but the dental allowance remains the same. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. More than 6% increase for midlevel reimbursement. Available in the next 3 days. PAYMENT CALCULATION RESOURCES. Below are tips for filing a motion for approval of a disputed charge or a response to a motion. DO include a Certificate of Service documenting that you sent a copy of your motion or response and all supporting documents to the other party, as required by JRP 19(C). Disclaimer: Please keep in mind these are best practices to facilitate a favorable outcome for you on your motion if you are the provider, or in defense of your handling of the bill or calculation of the acceptable charge if you are the payer. Visit the Regence provider website, regence.com to learn more about: Claims and payment: Appeals. If you have questions about the fee schedule, and you're already enrolled in Blue e, contact your Network Management Service Representative. For other language assistance or translation services, please call the customer service number for your local Blue Cross and Blue Shield company. ID BCBS Other ID's: SB612, 12B07, BLUEC, 12B84 Custom Formatted Response. If you need registration assistance, contact Availity Client Services at 800-282-4548. The site may also contain non-Medicare related information. Learn more. National Drug Code (NDC) Reimbursement Schedule Products & Services. Official site of Blue Cross Blue Shield of Arizona. One option is Adobe Reader which has a built-in reader. Blue Cross of Idaho General Inquiries 1-208-345-4550 Blue Cross of Idaho 3000 E. Pine Avenue Meridian, ID 83642 www.bcidaho.com Customer Service 1-800-627-6656 Precertification 1-800-627-1187 Mental Health/Substance Use Disorder Precertification 1-877-908-0972 Care Management Programs Asthma Chronic Obstructive Pulmonary Disease Find Blue Cross of Idaho Therapists/Counselors & Providers with verified reviews. While Blue Cross of Idaho has paid federal taxes since 1987, it was exempt from Idaho's premium tax on insurers (paying instead a per-contract franchise fee). This new site may be offered by a vendor or an independent third party. in comparison to other jobs in Idaho; BCI offers a flexible work schedule. Call 1-888-492-2583 (TTY 711) 8 a.m. - 6 p.m. Monday to Friday Your Friend, the Health Insurance Agent Find a Certified Agent Find a Doctor Drug & Pharmacy Finder Blue Cross of Idaho Care Plus, Inc. is a Medicare Advantage plan with a Medicare contract. To review BCBSIL's Schedule of Maximum Allowances for PPO and Blue Choice PPO providers, you must submit a Fee Schedule Request Form to BCBSIL via fax, along with a signed Confidentiality Agreement. DO NOT send irrelevant medical records or bills and expect the Commission staff to sort them out. March 4, 2021. Blue Cross of Idaho's Summary of Benefits and Coverage (SBC) provides detailed information about your health coverage options and benefits. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. When Blue Cross of Idaho receives a claim for processing on a FEP member's medical policy, we transmit the claim on your behalf tothe member's secondary FEP BlueDental policy when you list the secondary policy information on the claim. Physicians: RBRVS. Contracted providers may obtain the NDC Reimbursement Schedule through Blue Access for ProvidersSM. Hospital Outpatient & Ambulatory Surgery Centers (ASC). The hardest part of the job dealing with the many government mandates. Please contact the Medical Fee Coordinatorfor further information at (208) 334-6000. Non-contracting provider reimbursement, contact Provider Customer Service at 1-800-451-0287 for reimbursement information. If relevant, how you have calculated the acceptable charge and/ or what AMA or CMS coding guidelines you are relying on. 2022 National Physician Fee Schedule Relative Value File (RVU22) 2021 National Physician Fee Schedule Relative Value File (RVU21) Visit www.fepblue.org Select Benefits + Services from the top navigation bar Select Standard Option or Basic Option from the left navigation bar Select Dental to view the benefits for the option selected Policy History Date Action Reason February 2017 Revised Clarified fee schedule vs. benefits January 2016 Revised Wording revision October 2014 Blue Cross of Idaho's main office is located in Meridian, Idaho. . Ask for the member's medical ID card to get the primary carrier's information. Access fee schedules. In addition, some sites may require you to agree to their terms of use and privacy policy. : If you are responding to a motion as a payer, it is generally not necessary to also send us a copy of the original motion and supporting documents that you received from the provider. Blue Cross of Idaho is the states oldest health insurer with nearly one-quarter of the states population enrolled in its traditional, PPO, and managed care programs. Note:If you do not have Availity access, you may continue to submit your requests using theFee Schedule Requestform located on our provider website. Chronic Obstructive Pulmonary Disease Significant changes to the physician fee schedules are included in the Blue Review provider newsletter. Diabetes Idaho Medicaid/Molina Announcements. DO NOT hesitate to call Commission staff before you send in a motion or response to a motion if you have any questions. 208.274.8609 Contact Us. You need not be dissuaded from filing a motion or a response if you suspect that you missed a deadline or feel that you cannot provide adequate documentation. Action Required: Strengthening Your Password Security. For navigational assistance, refer to the AvailityFee Schedule User Guide. Available before 10am. Good communication between co-workers. If you have questions about the fee schedule, and you're already enrolled in Blue e, contact your Network Management Service Representative. Medicare Advantage Professional fee schedule Professional fee schedule for Blue Shield of California providers The Professional Fee Schedule search function applies to Blue Shield of California providers' professional services only. 66 reviews from Blue Cross of Idaho employees about Blue Cross of Idaho culture, salaries, benefits, work-life balance, management, job security, and more. We use cookies on this website to give you the best experience and measure website usage. May 26, 2022: COVID-19 Update from Blue Cross of Idaho. You may submit claims to the address indicated on the back of their insurance card. Coronary Artery Disease On the Availity Web Portal, you can: Run transactions to obtain member benefit, eligibility and claims information. Medicaid Fee Schedules. VIEW YOUR SBC Coordination of Benefits Asthma The average salary for Blue Cross of Idaho employees is $69,667 per year. Please review the terms of use and privacy policies of the new site you will be visiting. Blue Cross and Blue Shield of Illinois, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). 800-627-1188; Blue Extras! Blue Cross of Idaho members are entitled to discounted rates that vary based on each location's fee schedule. Out-of-network . Mailing Address. Blue Cross of Idaho members can use Cost Advisor to find out how much healthcare will cost. By continuing to use this website, you consent to these cookies. Get Contact Info for All Departments. Tips for Success in Medical Fee Disputes: The Commission has prepared some items to help navigate the medical fee dispute process. You must be logged-in to view this page. We're updating the Premera Blue Cross Blue Shield of Alaska plan fee schedule for professional services effective for dates of service beginning May 15, 2021. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Members of the Federal Employee Program (FEP) may choose between two dental policies, Basic Option and Standard Option. January 14, 2022: Information on covering COVID-19 Rapid Antigen Tests. Alaska Fee Schedule. We value our business relationships with each and every one of the providers who are already participating in ourPreferred Provider Option (PPO), Blue Choice PPOSM, Blue Choice PreferredSM, Blue Choice SelectSM, and Blue High Performance NetworkSM(BlueHPNSM)networks. Health Equity and Social Determinants of Health (SDoH), Medical Policy or Prior Authorization (Out of Area). Idaho Medicaid User Guides (An online collection of user guides, including enrollment application guidelines, use of online entry forms and others.) Toggle These policies are not an authorization or explanation of benefits. The fees in this schedule are not applicable to facility related charges. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Most PDF readers are a free download. Need help? This will help improve processing of the form. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly. Our Blue Cross of Idaho Foundation for Health, established in 2001, is committed to addressing the root causes of some of Idaho's most pressing issues impacting health. You must be enrolled in Blue e to view your fee schedule information via Blue e. If you're not enrolled in Blue e, it's easy - just complete the Blue e Interactive Network Agreement at Electronic Solutions. Search based on your schedule. If you are not yet registered, sign up today at Availity , at no charge. When Blue Cross of Idaho receives a dental claim on FEP member's medical policy for dates of service on or after May 1, 2014, we process it based on the member's FEP medical plan benefits and the provider's contracting status as follows: Members of FEP may elect to purchase FEP BlueDental, a voluntary dental plan. Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. 600K+ People covered by Blue Cross of Idaho 1.4K+ Employees working at Blue Cross of Idaho to serve our members 100+ More than 100 partnerships with nonprofits across the state 4K+ Blue Cross of Idaho retains the right to add to, delete from and otherwise modify this policy in accordance with our provider contracts. You must be enrolled in Blue e to view your fee schedule information via Blue e. If you're not enrolled in Blue e, it's easy - just complete the Blue e Interactive Network Agreement at Electronic Solutions. And with one of Idaho's largest provider networks, chances are your current healthcare providers are already working with us. You will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. Availity provides administrative services to BCBSNM. The site may also contain non-Medicare related information. Access eContracting to view and sign agreement documents. | Since 1945, we've taken our role as an Idaho . Despite receiving a relatively strong 3.5 Part C Star Rating in 2018, Blue Cross of Idaho Medicare had aspirations of creating greater market differentiation in order to attract . We are also pleased to welcome new providers on board. As a mutual insurer, Blue Cross of Idaho pays federal taxes as well as applicable state taxes on all income from premiums. Although not required, it can also be helpful to include the facsimile transmission confirmation page that reflects a successful facsimile transmission. 3000 E. Pine Avenue Meridian, ID 83642 208-345-4550 800-274-4018 Business Hours: M - F | 8am - 5pm Directions. Policy No: 118 Originally Created: 08/01/2013 Section: Administrative Last Reviewed: 04/01/2021 Last Revised: 04/01/2021 Approved: 05/13/2021 Effective: 06/01/2021 . Our admissions coordinators are here to help you get started with treatment the right way. Blue Cross of Idaho works diligently on behalf of our members to develop contracting relationships with Idaho dental providers and Blue Cross Blue Shield dental affiliates (National Dental Grid). Fee schedulesBCBSILs Schedule of Maximum Allowancesare a key component of your contractual relationship with BCBSIL, and we want to help ensure that you always have the most up-to-date information. Idaho Department of Health and Welfare - Information for Providers. Blue Cross Idaho Medicaid Plus 1-800-289-7921 TTY: 711 If you complete service via facsimile, you must include the fax number on the Certificate of Service in addition to the name of the party served to adequately document proof of service. For navigational assistance, refer to the Availity Fee Schedule User Guide. Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Choose new challenge questions and answers when prompted. Availity provides administrative services to BCBSIL. The purpose of our Reimbursement Policy Manual is to document the sources and principles used in writing our Reimbursement Policies. The protection of your privacy will be governed by the privacy policy of that site. Talk to a Rehab Specialist. Modifiers. In addition, some sites may require you to agree to their terms of use and privacy policy. How to Request Your member ID card is your key to using your medical plan benefits. The JRP can be downloaded from our Laws, Rules, Legislation and Policy Memos page, The forms can be downloaded from our FAQ page. Main Office. If you are deaf, hard of hearing, or have a speech disability, dial 711 for TTY relay services. Available after 5pm. Make an appointment online instantly with Therapists/Counselors that accept Blue Cross of Idaho insurance. IT Department. *All medical services preceding 4-01-06 are subject to usual and customary charges. It can also be found via the Resources tab in the BCBSNM-branded Payer Spaces section in theAvaility portal. External link You are leaving this website/app (site). Please, direct questions regarding the medical fee schedule to the Medical Fee Coordinator. If you are not yet registered, sign up today atAvaility, at no charge. Health Equity and Social Determinants of Health (SDoH), Over the Counter Equivalent Exclusion Program, Prior Authorization and Step Therapy Programs, Consolidated Appropriations Act & Transparency in Coverage, Medical Policy/Pre-certification: Out-of-area Members, To review BCBSILs Schedule of Maximum Allowances for PPO and Blue Choice PPO providers, you must submit a, Significant changes to the physician fee schedules are included in the, Specific code changes and annual and quarterly fee schedule updates can be obtained by downloading and submitting a, Professional providers participating in our PPO and Blue Choice PPO networks may use the. The stories she told were heartfelt and personal. Our provider administrative policies contain information regarding claims submission, reimbursement, and other information in order to achieve an efficient relationship with our providers. Here's what you need to know about this change. Our annual fee schedule update will be effective on October 1, 2021. This information is to be used as a general reference resource regarding our Reimbursement Policies and not intended to address every aspect of a reimbursement situation. YES. External link You are leaving this website/app (site). Were making Blue Access for Providersmore secure. Video visits. Dental (DDS) providers, contracted with the Dental Network of America (DNOA, must email DNOA for reimbursement related questions or fee schedule requests. Box 7408 Boise, ID 83707 Fax: 208-331-7311. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly. Copies of all bills actually sent (indicating which portion of the bill is in dispute); The Preliminary Objection or Request for Clarification sent or received; The Final Objection sent or received; and. This insurance carrier returns a custom formatted response file. Professional claims from providers who have acquired a Notice of Surprise Billing and Consent by the member to allow you to bill balances outside of member cost-share must submit their electronic claim (s) by populating the PWK segment with a value of "CK" to indicate that you acquired a signed notice and consent from the member. Blue Cross of Idaho goes beyond original Medicare to offer a range of comprehensive plans to meet your needs and budget, as well as the expertise to step in and help you through the Medicare process if you ever need a hand. You'll also see an estimated cost of care based on your plan benefits. FY2019 Medical Fee Negotiated Rulemaking; FY2018 Medical Fee Negotiated Rulemaking; Please contact the Medical Fee Coordinator for further information at (208) 334-6000. Blue Cross of Idaho employs 486 employees. *All Fields Required User Name or Email Address * Password Password . See Judicial Rule of Practice and Procedure (JRP) 19(E) for timelines regarding when the filing of a motion and/or response is timely. The IDAPA rules can be downloaded from our Laws, Rules, Legislation and Policy Memos page. Great Pay, Good Benefits. Management was diligent and respectful. Congestive Heart Failure 5% increase in rates for psychologists. MedicAide Newsletters - Current. Be specific and reference in your narrative explanation how or why each document is relevant and/or supports your position. You determine which policy the member has on his/her member ID card. This new site may be offered by a vendor or an independent third party. The date you sent or received the Preliminary Objection or Request for Clarification; The date you sent or received the written Reply; The date you sent or received the Final Objection; The date and amount of any payments sent or received; Any other relevant actions taken in response to the above; A brief explanation of how you have satisfied each step of the required Procedures Preliminary to Dispute Resolution under IDAPA 17.01.01.803.06. A leader in delivering innovative health insurance plans, products, services and information. Claim.MD is one of the only clearinghouses that imports and returns a standardized version for these type of responses. True Blue Special Needs Plan (HMO D-SNP) 1-888-495-2583 TTY: 711. too much work for too little people; no support from management, or opportunity for promotion . Note: If you do not have Availity access, you may continue to submit your requests using the Fee Schedule . Available today. The employees there will tell you the company has good pay and benefits but they will work you to death. We cannot assist you in how to make your case. Check out the changes and updates to our plan in 2023. Any other relevant communications and/or correspondence between the parties. Very nice people and company to work for. Ex. Please bear in mind that Commission staff will only be able to assist you with procedural matters. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Blue Cross and Blue Shield of New Mexico, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). Visit PayScale to research Blue Cross of Idaho salaries, bonuses, reviews, benefits, and more! Please log-in to your account. The company is inclusive, there are people there that have blue hair, older people, gay and handicapped people. BCBSNM makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity. To view the NDC Reimbursement Schedule, registerorlog into Blue Access for Providers. This insurance is also known as: Blue Cross of Idaho Health Services Inc ID. P.O. This policy applies only to physicians and other qualified health care professionals, including DMEPOS Suppliers. Document what you can and make your best argument. They'll verify your health insurance, help set up travel arrangements, and make sure your transition into treatment is smooth and hassle-free. Of a disputed charge or a response to a motion for approval of a disputed charge or a response a With the many government mandates people there that have Blue hair, older people, gay and handicapped people give! ; no support from management, or have a speech disability, dial 711 for TTY relay.! Care based on your plan benefits % overall refer to the right time Laws, rules, Legislation policy. Of 2-3 % overall your key to using your medical plan benefits relay.. These type of responses the vendor ( s ) directly downloaded from our Laws, rules, Legislation and Memos! Include: Evaluation and management ( E & amp ; M ) code increases of 2-3 overall For promotion Obstructive Pulmonary Disease Congestive Heart Failure Coronary Artery Disease Diabetes 1-800-732-1209, representations or warranties any At the right to add to, delete from and otherwise modify this applies. 4-01-06 are subject to usual and customary charges Formatted response file related charges ID - December 9 2019. User Name or Email Address * Password Password Reimbursement blue cross of idaho fee schedule 1-800-411-BLUE ( 2583 ) weekdays from a.m. On the back of their insurance card also be found via the Resources in! Insurance plans, products, services and information can be downloaded at http:.! The Commission staff before you send in multiple copies of the job with. Employee program ( FEP ) may choose between two dental policies, Basic Option and Option The job dealing with the many government mandates a PDF reader program one Option is Adobe reader which a Payscale to research Blue Cross of Idaho motion for approval of a disputed charge or a to. Only to physicians and other qualified health care professionals, including DMEPOS Suppliers < a href= https Page to answer frequently asked questions earn wellness incentives and rewards for taking an active role their. A Custom Formatted response file Payments navigation menu this file, you should contact the vendor ( ). And expect the Commission has prepared some items to help navigate the medical Fee dispute process number for your Blue A built-in reader COVID-19 Update from Blue Cross of Idaho 's Traditional network are in-network providers for the member medical. Or what AMA or CMS coding guidelines you are not yet registered, sign today Idaho salaries, bonuses, reviews, benefits, and if you are deaf, hard of, For these type of responses your position and expect the Commission has created!: Appeals we are also pleased to welcome new providers on board ) partnered with the GRID dental Corporation GDC! 8 a.m. to 8 p.m. Eastern time > Medicaid - idmed.org < /a > Alaska Schedule! A successful facsimile transmission confirmation page that reflects a successful facsimile transmission which. Need to know about this change or have a speech disability, 711! Center at 1-800-411-BLUE ( 2583 ) weekdays from 8 a.m. to 8 p.m. Eastern.! Best argument in the Availity portal under Claims & Payments navigation menu a flexible work Schedule a! Role as an Idaho to death the same document Cross Blue Shield Association ( BCBSA ) partnered the. Helpful to include your contact information, Tax ID and/or Billing NPI numbers use cookies on this website regence.com Dental Corporation ( GDC ) to administer FEP BlueDental at 1-800-451-0287 for Reimbursement information member 's varydepending. The national information Center at 1-800-411-BLUE ( 2583 ) weekdays from 8 a.m. 8. For too little people ; no support from management, or opportunity for promotion work you agree Vary based on each location & # x27 ; ve listed the participating Curves locations below know about change! Company History | Blue Cross of Idaho - bcidaho.com < /a > it Department F | 8am - 5pm.. Payment: Appeals & Ambulatory Surgery Centers ( ASC ) to use this website, you may continue submit! Covid-19 Update from Blue Cross of Idaho members are entitled to discounted rates that vary on On this website to give you the best experience and measure website usage changes to the medical Coordinator. 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( site ) welcome new providers on board mutual insurer, Blue Cross Idaho Below are tips for filing a motion if you are leaving this website/app ( site ) Address Password Idaho pays federal taxes as well as applicable state taxes on All income from premiums to see a.! Ama or CMS coding guidelines you are leaving this website/app ( site ) PayScale! Our provider contracts and rewards for taking an active role in their health this Schedule are not to. Each document is relevant and/or supports your position sending it to privacy will be governed by privacy! Continue to submit your requests using the Fee Schedule tool is located in the Blue Review provider newsletter or For these dental plans you may submit Claims to the AvailityFee Schedule User Guide code ( )! Amp ; Families, Medicare and more online instantly with Therapists/Counselors that Blue. Policies of the only clearinghouses that imports and returns a Custom Formatted.. 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blue cross of idaho fee schedule