Medical Provider Resource Center
SIF provides workers’ compensation insurance to a majority of Idaho’s employers. As a medical provider, your organization may provide medical services for an injured worker covered by SIF.
We Value our Provider Partners
We work to build a partnership between you and our staff to make your experience with SIF as easy and efficient as possible. Our Medical Provider hub allows you to search for a claim number, view bill status, payments made and associated Explanation of Benefits (EOB).
Medical Provider FAQs
Medical providers may receive reimbursement for services provided by submitting your bill using one of the following document types:
- CMS 1500
- UB 04
- ADA Dental
- SIF accepts the current AMA CPT Codes and Modifiers. Out-of-state specific codes or guidelines are not accepted.
- Please always include supporting medical documentation along with the patient’s full name, social security number and/or SIF-assigned claim number, if known.
We ask other service providers, such as pharmacy, transportation services, lodging, funeral home, social workers, etc., to submit charges on your regular invoice or billing statement. You must include your tax ID number and mailing address where payment is to be mailed. Include the patient’s full name, social security number and/or SIF-assigned claim number, if known.
Please send bills and documentation to:
P.O. Box 990004
Boise, ID 83799-0004
For any questions, please call us at (208) 332-2169. For new customers, or the first time submitting a bill to SIF, please be sure to include a W9 with the submission.
SIF pays medical bills based on the medical fee schedule approved by the Idaho Industrial Commission. View the schedules here.
Please note: Balance billing is not permitted.
Per Idaho Code Title 72-432, you cannot bill the patient for the unpaid portion of a bill paid by SIF unless it is for charges unrelated to their injury or other non-covered expenses.
For fastest processing, please log into our Medical Provider portal select “Submit a Surgery/Diagnostic Testing Request Form” under Communications. If you do not have a website login, download our Surgery and/or Diagnostic Testing Request form. For paper forms, return the completed copy and supporting documents by email to firstname.lastname@example.org, or by fax to (208) 332-2171.
Use this form to obtain prior authorization for surgical procedures, diagnostic testing, injections or other procedures or tests being recommended by the physician.
Our claims department reviews completed requests and notifies the medical provider of the results of the review.
Please do not use this form for physical medicine authorization. Contact the Claims Examiner directly for approval.