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CareFirst.com Providers & Physicians Phone Numbers and Claim Addresses

Phone Numbers and Claim Addresses

Select an area:
 

 

Provider Services
Phone
Claims/Correspondence Addresses
Maryland Indemnity - XW Prefix and BlueCard® Claims
410-581-3581
800-437-2332
Claims
Correspondence
Mental Health for Level III and Key Groups only
410-581-3581
800-437-2332
Claims
NCA Indemnity - XIA Prefix & BlueCard® Claims
202-479-6560
800-842-5975
 
Claims
Correspondence
CareFirst®' BlueChoice - XIC Prefix
202-479-6560
800-842-5975
Claims
Correspondence
BluePreferred - XIP Prefix
 
202-479-6560
800-842-5975
 
Claims
Correspondence
BlueChoice Advantage - XIH Prefix
202-479-6560
800-842-5975
Claims
Correspondence
Blue Precision
202-479-6560
800-842-5975
Claims
Correspondence
MHIP
202-479-6560
800-842-5975
Claims
Correspondence
Dental
 
(see dental manual)
 
(see dental manual)

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State of MD Provider Services
Phone
Claims/Correspondence Addresses
State of Maryland - POS & PPO
877-228-7268
Claims & Correspondence
State of Maryland - HMO
 
877-228-7268
 
Claims
Correspondence & Appeals

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NASCO Provider Services

Phone
Claims/Correspondence Addresses
NASCO - National Accounts Service & Claims Operations
   
Northrop Grumman - NRG Prefix
877-228-7268
800-972-8088
Claims
Correspondence
Northrop Grumman -
ESS or NGC Prefix
800-516-1269
Claims
Correspondence
All Other NASCO Accounts
877-228-7268
Claims
Correspondence

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FEP Provider Services
Phone
Claims/Correspondence Addresses
Federal Employee Program -
R Prefix
Professional & Institutional providers in Montgomery & Prince George's counties, Washington, DC & Northern Virginia (east of Rt. 123*)
202-488-4900
Claims
Correspondence
All Other MD FEP Providers
Professional Inquiries
410-581-3568
800-854-5256
Institutional Inquiries
410-581-3567
800-321-2580
Claims
Correspondence
* For providers west of Rt. 123, send all claims and correspondences to local plan

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Provider Contacts
Phone
Claims/Correspondence Addresses
BlueCard
BlueCard Eligibility
800-676-BLUE (2583)
Claims
Correspondence
Provider Information &
Credentialing
410-872-3500
877-269-9593
410-872-4107/fax
866-452-2304
Correspondence
Provider Relations &
Professional Contracting
410-872-3500
877-269-9593
410-505-6900/fax
866-452-2306
Correspondence
Institutional and Vendor Contracting
410-872-3500
877-269-9593
410-872-4106/fax
866-452-2305
 
Correspondence
Provider Seminar
Registration
877-269-2219
 
Care Management
 
866-PRE-AUTH
(773-2884)
   
Authorization
 
410-528-7027
Fax for authorization
   
Case Management
 
410-605-2413
888-264-8648
 
Correspondence

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Automated Voice Response Units
Phone
BlueLine
MD Region - Authorizations, Eligibility and Claim and Benefit Inquiry for PPO, MPOS, PPN and MD Indemnity
410-581-3535
800-248-8410
FirstLine
NCA Region - Eligibility, Claim and Benefit Inquiry for CareFirst BlueChoice, BluePreferred and NCA Indemnity
202-479-6560
800-842-5975
FEP - Eligibility, Claim and Benefit Inquiry
202-488-4900
Maryland Point of Service (MPOS) Referral Line
Fax for referrals:
410-998-5741
Forms Request Line
MD Region - Authorization Forms, MPOS Referral Forms, Information Request Forms, BLUELINE Quick Reference Cards
410-998-4667
NCA Region - FirstLine
 
202-479-6560
800-842-5975

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Vendor Contacts
Phone
Argus
Pharmacy benefits manager
 
800-314-2872 for prior authorization requests
Fax: 800-315-4025
Emdeon
Enrollment for electronic claims submission
 
800-845-6592
Gateway EDI
Enrollment for electronic claims submission
 
800-556-2231
Icore Healthcare
Supplier of injectable drugs
 
866-522-2470
Laboratory Corporation of America (LABCORP)
Provides laboratory services for CareFirst BlueChoice members
 
800-322-3629
Magellan Behavioral Health
Mental health and substance abuse services
 
800-245-7013
McKesson Specialty
Supplier of injectable drugs
 
888-456-7274
MedAvant
Enrollment for electronic claims submission
 
800-792-5256 ext. 813
MTrans (Misys)
Enrollment for electronic claims submission
 
800-347-3473 ext. 2188
Payerpath
Enrollment for electronic claims submission
877-623-5706 ext. 2
ProtoMED
Enrollment for electronic claims submission
410-684-3325 or
1-800-648-4836
RealMed
Enrollment for electronic claims submission
 
877-927-8000
RelayHealth
Enrollment for electronic claims submission
 
847-608-7000 (Professional)
800-693-6890 (Institutional)

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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.

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