Resources & Forms
Submitting a Claim
Need to submit a claim? You'll find the most frequently used forms below. Follow the directions on each form to make sure that your benefits are applied correctly.
If you can't locate what you need, or need help submitting a claim, please contact Member Services using the phone number on the back of your CareFirst member ID card.
Claim Forms
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Health Benefits Claim Form (PDF) |
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Major Medical Claim Form (PDF) |
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International Claim Form (PDF) |
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Disability Certification for Overage Dependents (PDF) |
Resources
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CareFirst WellBeing Resource Guide (PDF) |
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CareFirst WellBeing (PDF) |
Continuity of Care
Employees and their covered dependents who are undergoing treatment for a serious or complex medical condition may be eligible for Continuity of Care under CareFirst. Please follow the instructions and complete the form below.
CareFirst Continuity of Care Form (PDF)
The form and supporting documentation can be mailed or faxed.
Fax #: 410-720-3060 (Attention: Utilization Review)
Mailing Address:
CareFirst Blue Cross BlueShield,Utilization Review
1501 South Clinton St.
8th Fl. Mail Stop: CT-08-02
Baltimore, MD 21224
