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To verify coverage or benefits or determine pre-certification or pre-notification requirements for a particular member, call 866-945-9839 or send an electronic inquiry through your established connection with your local Blue Plan. Services requiring pre-certification include inpatient admissions (hospital, extended care facility, skilled ...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 weekCredentialing frequently asked questions 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.

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CareFirst BlueCross BlueShield Privacy Office PO Box 14858 Lexington, KY 40512 Fax: 1-410-505-6692You will still receive quality care through the CareFirst CHPMD benefits and provider network. And we will continue to help you get the care you need. If you have any additional questions, please call Member Services at 410-779-9369 or toll-free at 1-800-730-8530 (TTY:711) Monday – Friday, 8:00 AM – 5:00 PM. We offer interpretation services ... 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. (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 Number 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. Since April 2021, CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. (CareFirst) has been preparing providers for the upgrade to Altruista, our new Prior Authorization (PA) Notification system, through different communications ( BlueLink) and training efforts (live webinars, where over 700 providers participated.)The 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 …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 ...CareFirst BlueCross BlueShield website for Providers & Physicians. ... please contact us at 800-842-5975. ... Update and Attest to your Provider Directory Data Today!CareFirst BlueCross BlueShield offers healthcare coverage that protects you and your family. Choosing a health plan for yourself—or your family—is an important decision. Whether you know what coverage you need or want to explore your options, CareFirst offers a range of plans for Maryland residents.Since April 2021, CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. (CareFirst) has been preparing providers for the upgrade to Altruista, our new Prior Authorization (PA) Notification system, through different communications ( BlueLink) and training efforts (live webinars, where over 700 providers participated.)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 ... Provider manuals and guides 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. Cell Pages: Cell Phone Directory is an online search engine that provides cell phone number listings. Numbers can be looked up according to name, and reverse phone lookups provide ...Precertification Request for Authorization of Services. For fax requests only: Please complete all fields for a timely response to avoid a delay of authorization. In most cases, you should receive a response via fax or telephone within two business days. Please fax only the authorization request form to 410-781-7661.Field-based CareFirst CHPMD provider relations representatives and care managers who provide you with exceptional service at your convenience. If you would like more information about joining our network, call us at 1-410-779-9359 or 1-800-730-8543 or send an email to [email protected] Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (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. PRD1149-1E (11/23)For additional information, contact us Monday-Thursday 8 a.m. to 5 p.m. or Friday 10 a.m. to 5 p.m. at 855-503-4862, or visit our dental page for a quick and easy quote. CareFirst BlueCross BlueShield offers dental insurance plans to meet your financial and coverage needs in Maryland, Washington D.C., and Northern Virginia. How to apply for credentialing for professional providers participatiCareFirst BlueCross BlueShield Advantage DualPrime is a 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 ...Starting today, mail refunds to: CareFirst BlueCross BlueShield. PO Box 789747. Philadelphia, PA. 19178-9747. The Provider Refund Submission Form, which can be found in the Forms section of our website, is used for submitting voluntary, unsolicited refunds to CareFirst. This form should not be used for corrected claims refunds. Blue Cross and Blue Shield of Texas Arboretum P 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. Contact Person : Contact Telephone # Contact Email Address : Care

We have a dedicated team here to help. You can leave a detailed voice message for Provider Relations at (410) 872-3512 or (833) 939-4107 Please include the following: Reference and/or Ticket Numbers (from Provider Service and/or Helpdesk) Your Name and Role, Phone Number, Practice Name, NPI, Tax ID, Specialty,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 40742threatening illness, please contact FEP provider services at 1-800-854-5256 or 202-488-4900. PROVIDER INFORMATION Provider’s Name Date (mm/dd/yy) ... CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst MedPlus is the business nameBroad Network Solutions. The BlueCard network is the gateway to seamless national access to 95 percent of physicians and 96 percent of hospitals participating in Blue networks. You also have the freedom to configure domestic networks to suit your needs, and your employees can easily access health care regardless of where they work, live or travel.

Please submit the requested information as requested within the identified time frame to ensure compliance with the provider contract. Only providers who receive requests from VerifPoint must submit updated information. Please contact Dental Provider Credentialing and Contracting at 443-921-0676 with any questions.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 ... If 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. …

Reader Q&A - also see RECOMMENDED ARTICLES & FAQs. On January 10, CareFirst BlueCross BlueSh. Possible cause: Blue Cross Blue Shield of Michigan P.O. Box 312500 Detroit, MI 48231-2500. UB-04 claims.

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.Phone Numbers (Monday-Friday, 8 a.m. to 6 p.m. and Saturday, 8 a.m. to noon) Current members with renewal questions. 855-300-7751. Individuals interested in purchasing insurance. 800-544-8703. Looking to renew or change your CareFirst BlueCross BlueShield plan?

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 ...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.

Serving Maryland, the District of Columbia and On January 10, CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. (CareFirst) updated its Prior Authorization (PA) Notification system through the provider portal. The newly enhanced system offers easy to read dashboards, a user-friendly interface, real-time approvals for authorizations meeting certain criteria, … To access all features and pages of the pWe would like to show you a description here bu CareFirst BlueCross BlueShield Privacy Office PO Box 14858 Lexington, KY 40512 Fax: 1-410-505-6692In-network: $25/$75 Out-of-network: $50/$150 Does not apply to Preventive and Diagnostic or Orthodontic Services: Annual maximum: $1,500 (Employer-sponsored or Voluntary) or $2,000 (Employer-sponsored) Does not apply to Preventive & … Individual Sales Inquiries. Phone Numbers (Mond Schedule a time to have a CareFirst representative reach out to you — at your convenience. Log into My Account and schedule a call back today. Member Service Phone Numbers (Monday-Friday, 8 a.m. to 6 p.m.) Members who bought ACA Plans directly from CareFirst (off exchange) 855-444-3122.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 coverage with extra ... BCBS Customer Service. Call the toll-free number on the User ID: Password: Remember me? Login. Need Help Logging In. Create aWe would like to show you a description here but the Sumy Oblast (Ukrainian: Сумська́ о́бласть, romanized: Sumska oblast), also known as Sumshchyna (Су́мщина), is an oblast (province) in northeast Ukraine.The oblast was …Where to Find Us. Our main address is: BlueCross BlueShield of South Carolina I-20 East at Alpine Rd. Columbia, SC 29219. Our general phone number is: 803-788-0222. Toll-free: 800-288-2227. We also have South Carolina BLUE retail centers in Columbia, Greenville and Mount Pleasant where you can speak to us in person. Our support team is available to help you find the mental health 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. Find out how you can help your patients renew their coverage here. CareFirst CHPMD Members whose medical care has been impacted by ... Sky is a popular telecommunications compIf you are looking to buy or renew a CareFirst plan, please contact 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.Click 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 ...