Outpatient Pre-Treatment Authorization Program (OPAP) Request. INSTRUCTIONS. Participating Providers: to initiate a request and to check the status of your request, visit CareFirst Direct at carefirst.com. Please print and complete entire form. Fax form to 410-505-6404.If you have comments or questions, we want to help you. For technical support, call the CareFirst Help Desk at (877) 526 – 8390, Monday - Friday, 7:00 a.m.-6:00 p.m. (Eastern Time). Or, refer to the chart below for more information about provider resources and services. Contact our Credentialing Department to become a participating provider.Whether you need care here in the United States or abroad, you'll have access to health care in more than 190 countries. With a provider network this comprehensive — more than 1 million physicians as well as provider facilities, hospitals and other care centers — most of your care needs are covered in-network, which means savings for you. Credentialing information for professional providers participating in the CareFirst BlueCross BlueShield network. If you cannot complete your eligibility/benefits inquiry online, please contact us at 800-842-5975. Failure to complete all sections, or indicate N/A when the requested information does not apply, may delay processing. Submit form to: CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc., Institutional Contracting, Mailstop CG-51, 10455 Mill Run Circle, Owings Mills, MD 21117, or email: [email protected] questions about claims that are denied because of enrollment, copay/deductible, lack of prior authorization and claims payment, contact Provider Services at 800-842-5975 or 202-479-6560. An inquiry must be submitted to the appropriate addresses below within 180 days or six months from the date of the EOB.BCBS Provider Phone Number April 23, 2020 April 23, 2020 Channagangaiah United States List BCBS Provider Phone Number; Alabama: 800-517-6425 (Benefits/Eligibility) 800-327-3994 (PEEHIP) 800-760-6851 (Customer Service) 800-492-8872 (Federal Employee Program) 800-668-3813 (Healthspring)If you need to reach us for any reason, you can contact us in a variety of ways. Send Us a Message. Send us your questions and we'll reply within one business day. Ask …Providers can obtain additional information about submitting claims through Availity by calling 1-800-282-4548 or by visiting the website at Availity Essentials Provider Portal. Alerts. Provider/Customer Service: 410-779-9359 or 800-730-8543. Provider Resources for physicians and providers of CareFirst Medicare Advantage Plans.Find a Doctor or Health Care Facility. Our directory allows you to search by provider last name or type of provider. To locate a provider within your plan’s network, you will need to know the name of your plan. To confirm the specific name of your plan, please check your member ID card. Through this search tool, you can also search for health ...If you have comments or questions, we want to help you. For technical support, call the CareFirst Help Desk at (877) 526 – 8390, Monday - Friday, 7:00 a.m.-6:00 p.m. (Eastern Time). Or, refer to the chart below for more information about provider resources and services. Contact our Credentialing Department to become a participating provider.June 29, 2012 - Are you currently submitting claims electronically? Take advantage of the EFT process. With EFT, you get paid faster, your direct deposits are more secure, and you can reduce your amount of paperwork. To enroll for EFT, a provider must: Submit their claims electronically; and. Enroll and receive Electronic Remittance Advice (ERA ... Mental Health Services. 800-245-7013. Prescription Drug Coverage. 800-241-3371. Vision Coverage – Davis Vision. 800-783-5602. Using the numbers provided, you can contact CareFirst BlueCross BlueShield's Member Services representatives. Please have your Member ID number ready. You should apply through the National Plan and Provider Enumeration System (NPPES). You can also obtain a copy of the paper NPI Application/Update Form (CMS-10114) by contacting the NPI Enumerator in one of three ways: Phone: (800) 465-3203 or TTY (800) 692-2326. E-mail: [email protected]. Box 14114. Lexington, Ky., 40512-4114. Provider Services Telephone Support: 1-877-228-7268. To ensure that you have up-to-date information, including the correct address for claim submission, make it your routine practice to check the patient's membership card at each visit. The "newly-formatted" State of Maryland ID card is below.Outpatient rehabilitation: Use the Outpatient Pre-Treatment Authorization Program Form. For services that do not require prior nurse review, use the Precertification Messages Request form and fax to 410-781-7661, or call Precertification at 1-866-PRE-AUTH (773-2884), option 1. For services that require prior elevated nurse/medical review only.Check in to make sure your contact information is up to date to receive important notices on any changes to your health insurance. To update your address, phone number or email, log in to your MHC online account. If you need assistance, call MHC at 1-855-642-8572. CareFirst CHPMD Providers: Encourage your patients to update their information.CareFirst BlueCross BlueShield website for Providers & Physicians. If you cannot complete your eligibility/benefits inquiry online, please contact us at 800-842-5975. Change Healthcare NoticeClick this link: Find a Doctor. Select the Continue as Guest option. Enter a city, state or ZIP to optimize your search. Select a network for the CareFirst plan you’re exploring or the one you currently have. Under Browse by Category, click Primary Care and then All Primary Care. You will see a list of PCPs who are in network for CareFirst ...A new patient-centric, virtual-first primary care practice. Compassionate care for over 100 conditions through an easy-to-use app. 24/7/365. CloseKnit's care teams offer preventative and urgent care, behavioral and mental health, chronic condition prevention, medication management, and more.Failure to complete all sections, or indicate N/A when the requested information does not apply, may delay processing. Submit form to: CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc., Institutional Contracting, Mailstop CG-51, 10455 Mill Run Circle, Owings Mills, MD 21117, or email: [email protected] Dental Customer Service toll free at: 866-891-2802 between 8:30 am and 5:00 pm ET, Monday–Friday. BlueDental Plus. Summary of Benefits. My Eye Dr. Service. You Pay. DEDUCTIBLE APPLIES TO ALL BASIC AND MAJOR SERVICES*. $50 Individual/$150 Family—in-network $50 Individual/$150 Family—out-of-network.Our Relationship with Providers. CareFirst Administrators (CFA) is a third-party health benefits administrator in Maryland, Washington D.C. and Northern Virginia. Locally, we are backed by CareFirst BlueCross BlueShield (CareFirst), and we are nationally supported by the Blue Cross and Blue Shield Association (BCBSA).We would like to show you a description here but the site won’t allow us.Spectra is a well-known company that provides cable TV, internet, and phone services to millions of customers across the United States. If you’re a Spectra customer and need to get... If you have comments or questions, we want to help you. For technical support, call the CareFirst Help Desk at (877) 526 – 8390, Monday - Friday, 7:00 a.m.-6:00 p.m. (Eastern Time). Or, refer to the chart below for more information about provider resources and services. Contact our Credentialing Department to become a participating provider. Providers can obtain additional information about submitting claims through Availity by calling 1-800-282-4548 or by visiting the website at Availity Essentials Provider Portal. Alerts. Provider/Customer Service: 410-779-9359 or 800-730-8543. Provider Resources for physicians and providers of CareFirst Medicare Advantage Plans.Find contacts you need at BCBSTX. Amarillo. 7901 Wallace Boulevard Amarillo, TX 79124. 1-806-371-3000 1-800-403-4650BCBS Customer Service. Call the toll-free number on the back of your member ID card for BCBS customer service. This is the customer service number for questions about your health insurance coverage, benefits or treatment. Don't have your card? Use the link below to find your local BCBS company's website. Find My BCBS Company.We would like to show you a description here but the site won’t allow us.Contact Us | Blue Cross Blue Shield. BCBS Customer Service. Call the toll-free number on the back of your member ID card for BCBS customer service. This is the customer …Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc. and First Care, Inc. are affiliate companies and also offer health benefit products and services on this site.CareFirst Administrators (CFA) is the only third-party administrator in Maryland, D.C. and Northern Virginia providing flexibility and superior service, through the most trusted name in health care—locally through CareFirst BlueCross BlueShield, and nationally through the Blue Cross Blue Shield Association. Consistently ranked in the industry ...You can also contact us by mail: CareFirst BlueCross BlueShield Medicare AdvantageP.O. Box 915 Owings Mills, MD 21117 Core and Enhanced HMO Plans For more information, call Member Services at 855-290-5744 (TTY: 711) October through March 31 8 a.m.-8p.m., ET, 7 days a weekCareFirst BlueCross BlueShield website for Providers & Physicians. If you cannot complete your eligibility/benefits inquiry online, please contact us at 800-842-5975. Change Healthcare NoticeThe Blue Cross® and Blue Shield® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. CareFirst Administrators (CFA) is the only third-party administrator in Maryland, D.C. and Northern Virginia providing flexibility and ...Blue Cross Blue Shield of Michigan P.O. Box 312500 Detroit, MI 48231-2500. UB-04 claims Blue Cross Blue Shield of Michigan P.O. Box 310166 Detroit, MI 48231-0166. Federal Employee Program claims Blue Cross Blue Shield of Michigan P.O. Box 312599 Detroit, MI 48231-2599. Blue Cross Complete claims P.O. Box 7355 London, KY 40742access careFirst Provider. CareFirst Administrators (CFA) is the only third-party administrator in Maryland, D.C. and Northern Virginia providing flexibility and superior …Sky is a popular telecommunications company that provides services such as TV, broadband, and phone. As a Sky customer, it is inevitable to come across issues that require assistan... Blue Cross Blue Shield of Michigan P.O. Box 312500 Detroit, MI 48231-2500. UB-04 claims Blue Cross Blue Shield of Michigan P.O. Box 310166 Detroit, MI 48231-0166. Federal Employee Program claims Blue Cross Blue Shield of Michigan P.O. Box 312599 Detroit, MI 48231-2599. Blue Cross Complete claims P.O. Box 7355 London, KY 40742 Instructions for providers on how to submit inquiries and appeals in the CareFirst BlueCross BlueShield network. If you cannot complete your eligibility/benefits inquiry online, please contact us at 800-842-5975.For members who buy their medical health plans through us, we offer a variety of different payment options. For members who bought their health plan through a public Exchange (e.g., Maryland Health Connection, DC Health Link or Healthcare.gov for Virginia residents), CareFirst will mail you a bill.When surgeries are rescheduled, it will be the responsibility of the provider to contact the CareFirst Utilization Management Department ( 866-773-2884 or via the provider portal) and provide the new date of service to ensure the claims will pay appropriately. We expect the above protocol to be in place through February 15, 2022 …Spectra is a well-known company that provides cable TV, internet, and phone services to millions of customers across the United States. If you’re a Spectra customer and need to get...FAX COMPLETED FORM WITH SUPPORTING MEDICAL DOCUMENTATION TO: 833-915-3865 (Toll) or 443-753-2182 (Local) SECTION 1 - MEMBER INFORMATION. First Name: Last Name: Date of Birth: Medicare #. SECTION 2 – HEALTHCARE PROVIDER INFORMATION.For services that do not require prior nurse review, use the Precertification Request for Authorization of Services form and fax to 410-781-7661, or call Precertification at 1-866-PRE-AUTH (773-2884), option 1. Participating Providers: To check the status of the authorization, visit CareFirst Direct at carefirst.com.Please call CareFirst Provider Information and Credentialing at 410-872-3500 or 877-269-9593. You can also reach out to your local Blue plan. CareFirst Administrators (CFA) is the only third-party administrator in Maryland, D.C. and Northern Virginia providing flexibility and superior service, through the most trusted name in health care ...For other language assistance or translation services, please call the customer service number for your local Blue Cross and Blue Shield company. Contact Us National Information Center 1 (800) 411-BLUEIf you are looking to buy or renew a CareFirst plan, please contact us at 800-544-8703. Have a question about individual or family plans? Visit our contact us page. Learn more about CareFirst BlueCross BlueShield medical, dental, and vision insurance in Maryland, Washington D.C., and Northern Virginia. Trusted for over 80 years.To access all features and pages of the provider portal, you must log in.Find the phone number for technical support, provider representatives, credentialing, claims, education and more. Learn how to join CareFirst networks, submit electronic claims, access provider news and resources, and get the NPI number.(used in VA by: First Care, Inc.). The Blue Cross® and Blue Shield® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Revised 05.01.2024 Prefix Group Group Name TPA Name & Address Claims & Benefit Contact Name Phone NumberThe support team can help you: Find a provider. Schedule an in-person appointment. Locate community resources and support programs. Get Support Today. If you or …Information about claims submission for providers and physicians in the CareFirst BlueCross BlueShield network. If you cannot complete your eligibility/benefits inquiry online, please contact us at 800-842-5975.Our free app makes it easy to search for in-network providers, pharmacies and urgent care centers near you. Contact Us National Information Center 1 (800) 411-BLUEIf you need to update your data or submit a new application while the current on-line self-service tools are not accessible, you can submit those requests manually utilizing the forms outlined below and send to: Mail Administrator, P.O. Box 14763 Lexington, KY 40512 or fax to: 410-872-4107. For Provider Directory Updates.P.O. Box 14114. Lexington, Ky., 40512-4114. Provider Services Telephone Support: 1-877-228-7268. To ensure that you have up-to-date information, including the correct address for claim submission, make it your routine practice to check the patient's membership card at each visit. The "newly-formatted" State of Maryland ID card is below.Blue Cross and Blue Shield of Texas Arboretum Plaza II 9442 Capital of Texas Hwy N, Suite 500 Austin, TX 78759-7228 1-800-336-5696 1-512-349-4847 Fax: 512-349-4853 Email to submit provider inquiries and questions. Amarillo. Blue Cross and Blue Shield of Texas 1001 E Lookout Drive Richardson, TX 75082-4144 1-361-878-1623 Fax: 361-852-0624CareFirst BlueCross BlueShield Mail Administrator P.O. Box 14116 Lexington, KY 40512-4115 For assistance, contact Customer Service at the telephone number on your Member ID card. Dental & Select Vision CareFirst BlueCross BlueShield Mail Administrator P.O. Box 14115 Lexington, KY 40512-4115Credentialing information for professional providers participating in the CareFirst BlueCross BlueShield network. If you cannot complete your eligibility/benefits inquiry online, please contact us at 800-842-5975.THIS FORM IS TO BE USED TO SUBMIT A CLAIM FOR SERVICES RENDERED UNDER YOUR CAREFIRST BLUECHOICE, INC. HEALTH PLAN. THE BLUECHOICE PROVIDER IS RESPONSIBLE FOR SUBMITTING CLAIMS FOR IN-NETWORK SERVICES. TO AVOID HAVING YOUR CLAIM RETURNED: 3 PREPARE A SEPARATE CLAIM FORM FOR …The Blue Cross® and Blue Shield® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. CareFirst Administrators (CFA) is the only third-party administrator in Maryland, D.C. and Northern Virginia providing flexibility and ...all CareFirst provider information provider.carefirst.com Clinical Resources Clinical practice guidelines, preventive service guidelines and disease management ... CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield …Dental. To confirm whether you have dental coverage administered by CareFirst Administrators, please check the plan indicator on your member ID card. Then, click below to find an in-network dentist in the Maryland, D.C. or Northern Virginia area. To find in-network dentists nationwide, please login and click the link to search for a national ...If you have comments or questions, we want to help you. For technical support, call the CareFirst Help Desk at (877) 526 – 8390. Below is a list that may assist you with your CareFirst provider-related questions. Contact our Credentialing Department to become a participating provider. Find your provider representative.Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc. and First Care, Inc. are affiliate companies and also offer health benefit products and services on this site.Before sending an inquiry consider submitting a corrected claim. It is informal and is not subject to official state laws that govern the appeals procedures. You have 180 days or 6 months from the date of the Explanation of Benefits or adverse. decision to submit an inquiry. Allow 30 days for a response to an inquiry.CareFirst offers a variety of thoughtful resources that address the importance of identifying, treating and caring for your behavioral, mental and emotional health and well-being. The following can help you ease your day-to-day pressure and stress. If you or someone you know is in crisis, call or text 988 or contact the CareFirst support line ...Electronic capabilities information for providers and physicians in the CareFirst BlueCross BlueShield network. If you cannot complete your eligibility/benefits inquiry online, please contact us at 800-842-5975.The provision also prohibits out-of-network providers from balance billing except in limited circumstances where the out-of-network (OON) provider has provided notice and obtained consent from the patient. OON providers/facilities are required to notify the plan/issuer when applicable notice and consent criteria are met along with a copy of the ... Frequently asked questions about claims submission for providers and physicians in the CareFirst BlueCross BlueShield network. If you cannot complete your eligibility/benefits inquiry online, please contact us at 800-842-5975. all CareFirst provider information provider.carefirst.com Clinical Resources Clinical practice guidelines, preventive service guidelines and disease management ... CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield …Before sending an inquiry consider submitting a corrected claim. It is informal and is not subject to official state laws that govern the appeals procedures. You have 180 days or 6 months from the date of the Explanation of Benefits or adverse. decision to submit an inquiry. Allow 30 days for a response to an inquiry.Our Relationship with Providers. CareFirst Administrators (CFA) is a third-party health benefits administrator in Maryland, Washington D.C. and Northern Virginia. Locally, we are backed by CareFirst BlueCross BlueShield (CareFirst), and we are nationally supported by the Blue Cross and Blue Shield Association (BCBSA).You should apply through the National Plan and Provider Enumeration System (NPPES). You can also obtain a copy of the paper NPI Application/Update Form (CMS-10114) by contacting the NPI Enumerator in one of three ways: Phone: (800) 465-3203 or TTY (800) 692-2326. E-mail: [email protected] you are looking to buy or renew a CareFirst plan, please contact us at 800-544-8703. Have a question about individual or family plans? Visit our contact us page. Learn more about CareFirst BlueCross BlueShield medical, dental, and vision insurance in Maryland, Washington D.C., and Northern Virginia. Trusted for over 80 years.Is the largest healthcare insurer in the Mid-Atlantic region, serving 3.5 million members. Employs over 9,500 employees and contractors in Maryland, Washington, D.C. and Northern Virginia.Check in to make sure your contact information is up to date to receive important notices on any changes to your health insurance. To update your address, phone number or email, log in to your MHC online account . If you need assistance, call MHC at 1-855-642-8572. CareFirst CHPMD Providers: Encourage your patients to update their information.Blue Cross and Blue Shield of Minnesota Document Processing Center P.O. Box 982805 El Paso, TX 79998-2805. Send adjustments and appeals to: Blue Cross and Blue Shield of Minnesota Document Processing Center P.O. Box 982800 El Paso, TX 79998-2800Member Service Inquiries Send a Secure Email. Log into My Account and click on the Communication Center or New Messages link in the top orange navigation to send us a secure email.. Current members with renewal questions 855-300-7751. Schedule a Call Today. Schedule a time to have a CareFirst representative reach out to you — at your …Credentialing information for professional providers participating in the CareFirst BlueCross BlueShield network. If you cannot complete your eligibility/benefits inquiry online, please contact us at 800-842-5975. ... CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and …CareFirst BlueCross BlueShield website for Providers & Physicians. If you cannot complete your eligibility/benefits inquiry online, please contact us at 800-842-5975. Change Healthcare Notice. Skip Navigation. ... Login to CareFirst Direct to update and attest to your provider directory information all in one place using the Provider Updates ...International Solutions and Licensees. As the association representing BCBS companies, the Blue Cross Blue Shield Association (BCBSA) provides a strong foundation of national leadership with industry colleagues, government officials, the media and the public. BCBSA employees work in our offices in Chicago and Washington, D.C.Go to Availity Portal and select Anthem from the payer spaces drop-down. Then select Chat with Payer and complete the pre-chat form to start your chat. By Phone: Call the number on the back of the member’s ID card or dial 800-676-BLUE (2583) to speak to a Provider Service representative. Learn how to contact your local Blue Cross and Blue Shield company, as well as other key areas. For general inquiries and questions about the Service Benefit Plan, our overseas and pharmacy coverage or fraud assistance, you can call us toll-free nationwide. You can also contact us by mail: CareFirst BlueCross BlueShield Medicare AdvantageP.O. Box 915 Owings Mills, MD 21117 Core and Enhanced HMO Plans For more information, call Member Services at 855-290-5744 (TTY: 711) October through March 31 8 a.m.-8p.m., ET, 7 days a weekFind a Doctor or Health Care Facility. Our directory allows you to search by provider last name or type of provider. To locate a provider within your plan’s network, you will need to know the name of your plan. To confirm the specific name of your plan, please check your member ID card. Through this search tool, you can also search for health ...Frequently Asked Questions. Frequently asked customer service questions, including member ID cards, claims and Certificate of Coverage. Customer Service. Enrollment & Benefits. Medicare. Mobile App. MyBlue Account. Pharmacy. Overseas.
Pre-Service Review (Pre-Certification and Pre-Authorization) for Out-of-Area CareFirst BlueCross BlueShield members. If you cannot complete your eligibility/benefits inquiry online, please contact us at 800-842-5975.. Ana kasparian
Check in to make sure your contact information is up to date to receive important notices on any changes to your health insurance. To update your address, phone number or email, log in to your MHC online account . If you need assistance, call MHC at 1-855-642-8572. CareFirst CHPMD Providers: Encourage your patients to update their information.BCBS Provider Phone Number April 23, 2020 April 23, 2020 Channagangaiah United States List BCBS Provider Phone Number; Alabama: 800-517-6425 (Benefits/Eligibility) 800-327-3994 (PEEHIP) 800-760-6851 (Customer Service) 800-492-8872 (Federal Employee Program) 800-668-3813 (Healthspring)To view the information you need, please be sure to have the membership ID and patient’s date of birth. Log in to the Provider Portal at provider.carefirst.com. You can search for a Member to check their Eligibility and Benefits information directly from the CareFirst Direct home page.Please call CareFirst Medicare Advantage prior to all non-emergency inpatient admissions. Prescription Drug Services. Part D Member Services: 1-844-786-6762; TTY: 711. Member Services. PO Box 915. Owings Mills, MD 21117. Requests for Prior Authorizations and Exceptions: 1-855-344-0930; TTY: 711.Dental Provider Networks Contact Information Correspondence Dental Provider Networks and Credentialing Telephone: 443-921-0676 Fax: 410-720-5080 ... CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShieldImportant Contact Information for CareFirst Federal Employee Program (FEP) Providers. Phone Number Information. Department. Phone Number. Provider Services. 800-854-5256 (MD) 800-842-5975 (DC/NoVA) CVS Caremark®. 877-727-3784.First Help — free 24-hour nurse advice line. Call anytime to speak with a registered nurse. Nurses can provide you with medical advice and recommend the most appropriate care. CloseKnit Virtual Care. See a doctor 24/7 without an appointment. You can consult with a board-certified doctor whenever you want on your smartphone, tablet or computer.Maryland Help Center: Important contact information for CareFirst BlueCross BlueShield Maryland. ... Contact Us. National Information Center 1 (800) 411-BLUE;CareFirst BlueCross BlueShield website for Providers & Physicians. ... please contact us at 800-842-5975. ... Update and Attest to your Provider Directory Data Today!Our directory allows you to search by provider last name or type of provider. To locate a provider within your plan’s network, you will need to know the name of your plan. To …Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc. and First Care, Inc. are affiliate companies and also offer health benefit products and services on this site.CareFirst BlueCross BlueShield Advantage DualPrime is a Medicare Advantage Prescription Drug Plan for those with both Medicare and Medicaid (Maryland Medical Assistance Program) as a Qualified Medicare Beneficiary (QMB) or a Full Benefit Dual Eligible (FBDE). This plan combines your Medical, Hospital and Prescription Drug …Please call CareFirst Provider Information and Credentialing at 410-872-3500 or 877-269-9593. You can also reach out to your local Blue plan. CareFirst Administrators (CFA) is the only third-party administrator in Maryland, D.C. and Northern Virginia providing flexibility and superior service, through the most trusted name in health care ... To access all features and pages of the provider portal, you must log in. Frequently asked questions about claims submission for providers and physicians in the CareFirst BlueCross BlueShield network. If you cannot complete your eligibility/benefits inquiry online, please contact us at 800-842-5975.Call for out-of-state Blue Cross and Blue Shield member eligibility and benefits. 800-676-2583. Carelon Medical Benefits Management. For commercial non-HMO prior authorization requests handled by Carelon. Carelon Provider Portal. Carelon Contact Center – 866-455-8415 (Monday through Friday, 6 a.m. to 6 p.m., CT; and 9 a.m. to noon, CT on ... Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc. and First Care, Inc. are affiliate companies and also offer health benefit products and services on this site. .
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