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 ...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).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.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 …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.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 ...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.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)In-network services requiring Pre-Service Review (Pre-Certification and Pre-Authorization) in the CareFirst BlueCross BlueShield network. If you cannot complete your eligibility/benefits inquiry online, please contact us at 800-842-5975.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 ...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 ...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 ... 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. Maryland Help Center: Important contact information for CareFirst BlueCross BlueShield Maryland. ... Contact Us. National Information Center 1 (800) 411-BLUE;1-800-411-BLUE (2583) Weekdays from 8 a.m. to 8 p.m. Eastern Time (excluding holidays) Call the National Information Center for information about your benefits and services, …BCBS 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.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.Professional Provider Manual 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.Nationwide, more than 96% of hospitals and 91% of professional providers contract directly with Blue Cross and Blue Shield companies. 5,724 hospitals are in-network 1,006,430 physicians are in-networkOutpatient 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.CareFirst BlueCross BlueShield Privacy Office PO Box 14858 Lexington, KY 40512 Fax: 1-410-505-6692 You can contact us in a couple of ways: Check the back of your membership card for your specific customer service phone number. Use My Health Toolkit®. Log into My Health Toolkit ® and select the envelope icon at the top of the page to access the message center. Next, select Ask Customer Service at the top of the page. From here, you can send ... 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 NoticeBlue 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: 361-852-0624If 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.Professional Provider Manual 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. Change Healthcare Notice ... CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group ...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 …Find a Doctor or Health Care Facility. Use our directory to see if your doctors are part of our network. You can search for a medical, dental or vision provider by last name or type of provider and within a specified distance. Through this search tool, you can also search for health care facilities, including hospitals, urgent care and labs.How may we assist you today? For general inquiries and website assistance, please call Blue Cross Blue Shield FEP Dental Customer Service at 1-855-504-BLUE (2583), 8 a.m. - 8 p.m. ET Monday - Friday (TTY 711) You can also submit an online inquiry regarding claims, member ID cards, website assistance, grievance or appeal, fraud, waste, 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 ...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: 361-852-0624FAX 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.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. Change Healthcare Notice ... CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group ...Blue Value Plus Option: This plan is an in-network only HMO plan. You must use in-network providers that participate in the BlueChoice network. If you have a CareFirst Federal Employee Plan or considering changing to CareFirst, our online provider directory will help you find a doctor or medical facility that meets your needs.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 healthcare ...Medical forms 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. Change Healthcare Notice ... CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and …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 …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. 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. OnStar is a leading provider of in-vehicle safety and security services. Whether you need emergency assistance, directions, or roadside assistance, OnStar is available 24/7 to help...Medicare Advantage Prior Authorization Requirements. This list contains prior authorization requirements for Medicare Advantage for inpatient and outpatient services. Procedure/Service. Comments. Inpatient Hospital—Acute. Residential Behavioral Health. Skilled Nursing Facility.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).Dedicated Support: 855-541-3985, 8 a.m. - 6 p.m. Monday-Friday. 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 BlueCross BlueShield Medicare Advantage is the shared ...OnStar is a leading provider of in-vehicle safety and security services. Whether you need emergency assistance, directions, or roadside assistance, OnStar is available 24/7 to help...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.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.A CareFirst BlueCross BlueShield representative will contact you with a decision within 72 hours. To file an expedited appeal, call Member Services at 833-939-4103 for assistance. You can also submit an expedited appeal in writing. Fax for Clinical Pre-Service Expedited Appeals: 410-605-2566.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?CareFirst makes it easy to get the prescription drug care you need: Coverage for nearly 5,000 drugs. Find out if a specific drug is covered, what cost-share tier it falls under and if any restrictions apply. Locate a participating pharmacy near you. Personalized care management notices detailing cost savings opportunities, safety alerts and ...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 ... 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. If 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.Your welcome packet will provide helpful information about how to get the most from your new plan. If you have questions, please contact CareFirst BlueCross BlueShield Medicare Advantage Member Services at 855-290-5744 (TTY:711) 8 a.m.-8 p.m., ET, 7 days a week from October 1 through March 31. From April 1 through September 30, our hours …Update professional and institutional/ancillary practice 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.Overview of CareFirst's Dental policies and procedures 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.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.Professional Provider Manual 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.As of March 2015, whitepages.com lets users to look up landline phone numbers by individual or business name. It also provides reverse number look up for those wishing to identify ...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.Medical Management. If you have questions on a prior authorization request handled by BCBSIL, use our automated phone system to contact our Medical Management department. Commercial (non-HMO) – 800-572-3089. Government Programs – 877-774-8592 (MA PPO); 877-860-2837 (BCCHP); 877-723-7702 (MMAI) Find a Doctor or Health Care Facility. Use our directory to see if your doctors are part of our network. You can search for a medical, dental or vision provider by last name or type of provider and within a specified distance. Through this search tool, you can also search for health care facilities, including hospitals, urgent care and labs. 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 ...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.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 ...Contact CareFirst’s Mental Health and Substance Abuse line at 800-245-7013. Select option 2 for assistance with mental health support services and care management. For dates of service starting January 1, 2022, authorizations for these services must be submitted through the provider portal on provider.carefirst.com.To access all features and pages of the provider portal, you must log in.Your welcome packet will provide helpful information about how to get the most from your new plan. If you have questions, please contact CareFirst BlueCross BlueShield Medicare Advantage Member Services at 855-290-5744 (TTY:711) 8 a.m.-8 p.m., ET, 7 days a week from October 1 through March 31. From April 1 through September 30, our hours …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 ...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.As of March 2015, whitepages.com lets users to look up landline phone numbers by individual or business name. It also provides reverse number look up for those wishing to identify ...Medical Management. If you have questions on a prior authorization request handled by BCBSIL, use our automated phone system to contact our Medical Management department. Commercial (non-HMO) – 800-572-3089. Government Programs – 877-774-8592 (MA PPO); 877-860-2837 (BCCHP); 877-723-7702 (MMAI)To access all features and pages of the provider portal, you must log in. ... 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 BlueCross BlueShield Medicare Advantage is the shared …Eyeglasses and Contact Lenses Discounts from participating vision ... participating provider cannot charge the member more than this amount for any covered service. Example: Dr. Carson charges $100 to see ... CareFirst BlueCross BlueShield is the business name of Group Hospitalization and Medical Services, Inc. CareFirst …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] 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.Find a Doctor or Health Care Facility. Use our directory to see if your doctors are part of our network. You can search for a medical, dental or vision provider by last name or type of provider and within a specified distance. Through this search tool, you can also search for health care facilities, including hospitals, urgent care and labs.3060 Williams Drive. Fairfax, VA 22030. (703) 934-6200. Owings Mills. General Administrative Offices. 10455 Mill Run Circle. Owings Mills, MD 21117. CareFirst has office locations and licensed affiliates throughout the Maryland, Washington, D.C., and Northern Virginia. View all of our corporate office locations.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.A CareFirst BlueCross BlueShield representative will contact you with a decision within 72 hours. To file an expedited appeal, call Member Services at 833-939-4103 for assistance. You can also submit an expedited appeal in writing. Fax for Clinical Pre-Service Expedited Appeals: 410-605-2566.Sumy Oblast (Ukrainian: Сумська́ о́бласть, romanized: Sumska oblast), also known as Sumshchyna (Су́мщина), is an oblast (province) in northeast Ukraine.The oblast was …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 ...Medicaid. I'm a member with a question for customer service: 1-877-860-2837 (TTY/TDD: 711) Speak with a live agent Monday - Friday: 8 a.m. to 5 p.m. Self-service or a voicemail available 24/7. I want to contact you by mail: Blue Cross Community Health Plans. c/o Member Services. P. O. Box 3418. If you cannot complete your eligibility/benefits inquiry online, please contact us at 800-842-5975. 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. CareFirst makes it easy to get the prescription drug care you need: Coverage for nearly 5,000 drugs. Find out if a specific drug is covered, what cost-share tier it falls under and if any restrictions apply. Locate a participating pharmacy near you. Personalized care management notices detailing cost savings opportunities, safety alerts and ...April 03, 2018 - Submit Authorizations for Behavioral Health Services Using the Provider Portal. Effective April 1, CareFirst brought in-house the behavioral health and substance use disorder services previously provided by Magellan Healthcare, Inc. (Magellan).CareFirst 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 40512-4115
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?. Shired island trail beach
In-network services requiring Pre-Service Review (Pre-Certification and Pre-Authorization) in the CareFirst BlueCross BlueShield network. If you cannot complete your eligibility/benefits inquiry online, please contact us at 800-842-5975.You 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 ...requirements mandated by the Blue Cross and Blue Shield Association. Zip codes labeled ‘FEP/ANC’ are within the CareFirst Service Area for both FEP and Ancillary Claims. Zip codes labeled ‘ANC’ are within the CareFirst Service Area for Ancillary Claims only. Zip Code 20000 FEP/ANC 20001 FEP/ANC 20002 FEP/ANC 20003 FEP/ANC 20004 FEP/ANC 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. BCBS 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. Federal Employee Program® (FEP) …Once a phone number gets disconnected, it goes into quarantine for six months. After the completion of six months, the phone number is available to the service provider to reissue ...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).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.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-BLUEOverview of CareFirst's Dental policies and procedures 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. CareFirst BlueCross BlueShield website for Providers & Physicians. ... please contact us at 800-842-5975. ... Update and Attest to your Provider Directory Data Today! 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..