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IASH Fax Sheet - CareFirst

1 IASH Fax SheetThis form helps support your inquiry to the CareFirst Direct Inquiry Analysis and Control System. Please use this form when faxing your DETAILSDateTimeToIASH Inquiries UnitFromOffice PhoneFaxOffice Fax# of pages (including cover)FAX TO APPROPRIATE NUMBER LISTED BELOWFEPFACETSNASCO/BLUECARD UB04 Billers MD*: 410-561-7933 CMS 1500 Billers MD*: 410-561-7933 UB04 Billers DC: 301-470-5152 CMS 1500 Billers DC: 202-203-2209 UB04 Billers: 301-470-1890 CMS 1500 Billers: 301-470-8072 301-470-5157 REQUIRED INFORMATIONP rovider ID #Inquiry Analysis Control NumberComments*Excludes PG and Montgomery Counties, use UB04 Billers DC and CMS 1500 Billers DC fax NoticeUnauthorized interception of this communication could be a violation of Federal and State Law.

Maryland, 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.).

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