CareFirst BlueCross BlueShield
About Us Careers CareFirst Community Contact Us Glossary Media Center Search the CareFirst Site
Providers and Physicians
Resources and Seminars Electronic Services Medical Policies Prescription Drugs Forms
CareFirst.com Providers & Physicians Dental Credentialing

Dental Credentialing

Medical Credentialing Dental Credentialing
Forms and Resources

CAQH Credentialing Web site 
(if you have a CAQH ID number)

Providers wishing to participate in the CareFirst BlueCross BlueShield / CareFirst BlueChoice (CareFirst) Dental provider network are required to submit credentialing information.

To ensure that CareFirst obtained correct information to support credentialing applications and made fair credentialing decisions, providers have the right, upon request, to review this information, to correct inaccurate information and to obtain the status of the credentialing process. Requests can be made by calling 443-921-0676 or by emailing DentalContracting@CareFirst.com.

CareFirst accepts the Maryland Uniform Dental Credentialing Form and the Coalition for Affordable Quality Healthcare (CAQH) Universal Credentialing Datasource application.

To avoid confusion and unexpected out-of-pocket expenses for members, all providers in the same practice must participate in the same provider networks.

Providers of dental care services seeking participation on both a dental plan organization panel and a carrier panel for medical care services will need to complete both the Maryland Uniform Credentialing form and the Maryland Uniform Dental Credentialing Form.

Maryland Uniform Dental Credentialing Form

The Maryland Uniform Dental Credentialing Form is a state mandated form that is accepted by all health plans in Maryland. A Dental Billing Authorization Form must also be completed and submitted with the Maryland Uniform Dental Credentialing Form in order to be considered for participation in the network(s).

The Maryland Uniform Dental Credentialing Form must be:

  • updated every time there are changes to information to ensure accurate claims processing and directory information
  • filled out every three years for re-credentialing

CAQH Universal Credentialing Datasource Application

The CAQH credentialing system compiles and organizes comprehensive data from more than 600,000 providers in 23 health plans nationwide at no cost to providers. As a result, providers avoid redundant submission of credentialing information to participating health plans and health care organizations. Only one completed application per provider is needed.
CAQH Universal Credentialing Datasource:

  • is compliant with the Maryland Uniform Credentialing Form regulations
  • streamlines the data collection and submission process into a Web enabled system
  • allows you to update your information, so you do not have to fill out a new form every three years

If you are interested in using CAQH's Universal Credentialing Datasource, complete the top portion of the CAQH Dental Provider Data Sheet and fax it to 410-720-5080. You will receive a CAQH ID number that allows access to the online application.

If you have already completed the application through another CAQH member insurance company:

Then, we can access your data to begin the credentialing process.


*Viewing & printing this form requires Adobe Acrobat Reader. Download it free from the Adobe site.

 

Solution Center
Need Claim Status or Eligibility?
Phone Numbers and Claim Addresses
Provider Manuals
Register for a Seminar - Professional, Institutional, Dental
Find a Doctor
Find My Provider Representative -
Professional, Institutional, Dental
Credentialing
Update Practice InformationPDF
Thomas/Love Settlement
Center for Provider Education & Training
Pay-for-Performance Program - CareFirst Quality RewardsNew
Disease Management
National Provider Identifiers (NPI)
Options Discount Program -
Alternative Therapies, Vision, Hearing and More
Health and Wellness -
My Care First
(En Español)
HIPAA
News & Updates

Select State of Maryland and Washington County Public School Members Get New ID Cards

Updates to the CareFirst BlueChoice In-Office Procedure List

Explanation of Chiropractic Benefits for FEP Members

Changes to CareFirst Direct

NPI Contingency Plan

Online NPI Submission Form Now Available

Receive News Via E-mail

News Flash Archives

Prescription Drug News

Nutritional Supplements and Over-the-Counter FDA Safety Information

Newsletters

Latest News

 

 
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 and CareFirst BlueChoice, Inc. are independent licensees of the Blue Cross and Blue Shield Association.

® Registered trademark of the Blue Cross and Blue Shield Association. ®' Registered trademark of CareFirst of Maryland, Inc.
This site is best viewed in IE 5.0 or higher or Netscape 7.0 or higher.