Search results with tag "Carefirst"
Chapter 5 - Claims Billing and Payments - CareFirst
provider.carefirst.comCareFirst on Call CareFirst on Call is an Interactive Voice Response (IVR) system that allows providers to retrieve CareFirst member eligibility, benefits, deductibles, maximums, claim status and authorization status. Callers may use human speech as well as telephone keypad input to interact with CareFirst on Call. The system has
Home Care Authorization Form - CareFirst
www.provider.carefirst.comCareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst BlueChoice, Inc., The Dental Network and First Care, Inc. are independent licensees of the Blue Cross and Blue Shield Association. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc.
IASH Fax Sheet - CareFirst
provider.carefirst.comMaryland, CareFirst MedPlus is the business name of First Care, Inc. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (used in VA by: First Care, Inc.).
Welcome to BlueChoice Advantage - carefirst.com
www.carefirst.comA. The FCPS BlueChoice Advantage plan utilizes CareFirst’s . BlueChoice HMO . and . BluePreferred PPO . provider networks, and also the national BlueCross BlueShield . BlueCard PPO . provider network. Members do not need referrals to see specialists. Vision benefits are provided through CareFirst’s partnership with Davis Vision. Q.
BlueLink - April 2018 - provider.carefirst.com
provider.carefirst.comBlueLink Provider Newsletter April 2018 ... directory and with any other . ... The Dental Network and First Care, Inc. are independent licensees of the Blue Cross and Blue Shield Association. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. In Virginia, CareFirst MedPlus is the
Provider Quick Reference Guide - CareFirst
www.provider.carefirst.comResource Area Contact Phone # Other Party Liability CareFirst (Small/Medium Group ... and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. BLUE CROSS®, BLUE SHIELD® and the Cross ... Provider Quick Reference Guide Author: CareFirst Subject: Provider Quick Reference Guide Created Date: 3/1/2022 ...
Provider Inquiry Resolution Form - CareFirst
provider.carefirst.comCareFirst BlueCross BlueShield is the shared business name of CareFir st of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFir st MedPlus is the business name of First Care, Inc. CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc. and Fir st Care, Inc., are independent licensees of the Blue ...
Health Benefits Claim Form - CareFirst
www.mebaplans.orgCareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc.
Member Identification Card Quick Reference Guide - CareFirst
provider.carefirst.comCareFirst BlueCross BlueShield Medicare Advantage is the business name of CareFirst Advantage, Inc., an independent licensee of the Blue Cross and Blue Shield Association. BLUE CROSS ® , BLUE SHIELD ® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue ...
Change in Provider Information Professional - CareFirst
provider.carefirst.comLeaving Service Area Retired Deceased Joining Another Practice Other ; CareFirst BlueCross BlueShield is the shared business name of CareFir st of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFir st MedPlus is the business name
Outpatient Pre-Treatment Authorization - Program (OPAP ...
provider.carefirst.comOutpatient 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. Check all that apply:
Provider Manual - CareFirst
provider.carefirst.comOutpatient hospital payment methodology Free‑standing ASC payment methodology ... and Consumer Direct) 866‑285‑2611 Large Group, Consumer Directed Healthcare (CDH), Administrative Services ... by mail or via fax at 410‑505‑2765: CareFirst BlueCross BlueShield 10455 Mill Run Circle Owings Mills, MD 21117 ...
EMPLOYEE AND RETIREE RATE SHEETS EFFECTIVE 01/01/2022 …
dbm.maryland.govcarefirst bluecross blueshield ppo $111.92 $201.44 $279.78 carefirst bluecross blueshield epo $74.68 $156.74 $194.20 kaiser $74.64 $156.64 $194.08 unitedhealthcare ppo $110.08 $198.16 $275.24 unitedhealthcare epo $75.14 $156.28 $186.34 medical - retiree monthly (with medicare) premium rates plan name retiree only with medicare retiree + 1, 1 ...
Uniform Consultation Referral Form - CareFirst
provider.carefirst.com3. Submit the completed Uniform Consultation Referral Form to CareFirst BlueChoice (applies to PCP only) by fax to 410-505-6160 or 1-800-354-8205. Forms can also be mailed to: Mail Administrator, P.O. Box 14116, Lexington, KY 40512-4116. 4. This is not the correct form to refer a member for laboratory or radiology services.
Guide to your Health
dbm.maryland.govBefore using your benefits, call the plan for information. Benefits provided can be changed at any time without the consent of participants. ... • CareFirst BlueCross BlueShield • UnitedHealthcare IHM • Kaiser Provide benefits for a variety of medical services and supplies.
Health Benefits Claim Form - CareFirst
member.carefirst.comÈdè Yorùbá (Yoruba) Ìtẹ́tíléko: Àkíyèsí yìí ní ìwífún nípa iṣẹ́ adójútòfò rẹ. Ó le ní àwọn déètì pàtó o sì le ní láti gbé ìgbésẹ̀ ní àwọn ọjọ́ gbèdéke kan. O ni ẹ̀tọ́ láti gba ìwífún yìí àti ìrànlọ́wọ́ ní èdè rẹ lọ́fẹ̀ẹ́. Àw ọn ọmọ-ẹgbẹ́
Professional Provider Manual - provider.carefirst.com
provider.carefirst.comTable of Contents PM0006‑1E (7/19) OB/GYN services quick reference guide Oral surgery Orthopedics Physical, occupational and speech therapy Podiatry
SPECIALTY GUIDELINE MANAGEMENT - provider.carefirst.com
provider.carefirst.comSPECIALTY GUIDELINE MANAGEMENT . BOTOX (onabotulinumtoxinA) POLICY . I. INDICATIONS . The indications below including FDA-approved indications and compendial uses are considered a covered benefit provided that all the approval criteria are met and the member has no exclusions to the prescribed therapy. A. FDA-Approved Indications 1.
Dental Claims Processing Policies - provider.carefirst.com
provider.carefirst.comThe pediatric dental orthodontic benefit requires pre-authorization for medical necessity before ... improper billing or coding is demonstrated ... Dental Provider Manual - Claims Processing Policies ...
Membership Change Form - CareFirst
member.carefirst.comMembership Change Form ACA Maryland Individual Plans Mailroom Administrator P.O. Box 14651, Lexington, KY 40512 Fax: 410-505-2901 or toll free 800-305-1351 If you purchased your insurance directly through the Maryland Health Connection, DC Health Link, or Virginia Health InsuranceMarketplace, then you MUST contact
Precertification Request for Authorization of Services
provider.carefirst.comauthorization for a CareFirst employee, fax the request to 410-505-2840. Please submit this completed form only at this time. Additional clinical information will be requested if needed.
Vision/Eye Care Claim Form - CareFirst | Member …
member.carefirst.comVision/Eye Care Claim Form PATIENT AND SUBSCRIBER INFORMATION 1. PATIENT’S NAME (First, Middle Initial, Last Name) 2. PATIENT’S DATE OF BIRTH 3. SUBSCRIBER’S NAME (First, Middle Initial, Last Name) 4. PATIENT’S OTHER INSURANCE INFORMATION
Summary of Benefits and Coverage: CareFirst BlueCross ...
gsiemployees.comor call 1-855-258-6518 for a list of Network providers. This plan uses a provider network. You will pay less if you use a provider in the plan’s network.
Specialty Drugs - CareFirst
member.carefirst.comSpecialty Drugs (effective January 1, 2019) Specialty drugs are high-cost, prescription drugs used to treat serious or chronic medical conditions and require special handling (such as
State of Maryland
dbm.maryland.govCareFirst BlueCross BlueShield 10455 Mill Run Circle Owings Mills, MD 21117-5559 ... PATIENT-CENTERED MEDICAL HOME, AND SUBSTANCE USE DISORDER PROGRAM ADDENDUM _____ 184 PRESCRIPTION DRUGS BENEFITS RIDER FOR SPECIAL POPULATION MEMBERS __ 187. ASO CFMI/GHMSI PPO (Custom 1/21 ...
Professional Reference Card - CareFirst
provider.carefirst.comYour 4-digit group number (the first 4 digits of your regional provider number), your Federal ... Helpful hints. Key commands. 9. Back to the main menu. 0 Transfer to customer service ... 364 Hearing aid 366 Hearing exam/non-routine 368 Hearing exam/routine. Medical equipment, prosthetics and supplies.
CareFirst BlueCross BlueShield’s Patient-Centered Medical ...
member.carefirst.comCareFirst BlueCross BlueShield’s Patient-Centered Medical Home (PCMH) program is designed to provide primary care providers (PCPs) with financial incentives, data, tools and support to provide high quality, lower cost care to CareFirst members.
CareFirst Third Party Administrator/Network Lease Accounts ...
provider.carefirst.comCareFirst Third Party Administrator (TPA)/Network Lease Accounts Only CareFirst contracts with Third Party Administrators to the Network claims product. Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. Please submit claims electronically using EDI Payer Codes: Professional – 580, Facility – 190.
CareFirst on Call
provider.carefirst.comCareFirst on Call—Institutional Reference Card Provider Benefit Codes for Institutionally Billed Services These benefits are categorized by the following types.
CareFirst BlueChoice, Inc. - OPM.gov
www.opm.gov• If you have any questions about the eligibility of a dependent, check with your personnel office if you are employed, with your retirement office (such as OPM) if you are retired, or with the National Finance Center if you are enrolled under Temporary Continuation of Coverage (TCC).
CareFirst Procedure Code/Modifier/Place of Service ...
individual.carefirst.comThese codes are labeled “Temporary” and are effective for dates of service on and after March 16, 2020. Coverage of these codes may be re-evaluated after the public health emergency has ... 99497 GT 02 Temporary 99498 GT 02 Temporary G2025 Do not submit a modifier Do not submit a place of service Temporary S9443 95 or GT 02 Existing . Title:
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