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 find what you need, or need help submitting a claim, please contact Member Services using the phone number on the back of your member ID card.
Claim Forms
For FSA/DCAP Participants who do not have CareFirst insurance, go to Hellofurther to register for the member portal.
Other Resources
Summary of Preventive Services (PDF) | |
Surprise Billing Member Notice (PDF) - Effective 1/1/2022 | |
Preventive Incentive Program Notice (PDF) |