Search results with tag "Carefirst"
Provider Quick Reference Guide CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst BlueChoice, Inc.,
BlueLink 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
CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc.
1 Outpatient 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.
Membership 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
Specialty 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
or 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.
The pediatric dental orthodontic benefit requires pre-authorization for medical necessity before ... improper billing or coding is demonstrated ... Dental Provider Manual - Claims Processing Policies ...
SPECIALTY 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.
Vision/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
CareFirst 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 on Call—Institutional Reference Card Provider Benefit Codes for Institutionally Billed Services These benefits are categorized by the following types.
Professional Provider Manual, Provider, 2018, Directory, Blue, CareFirst, Outpatient Pre-Treatment Authorization - Program, Outpatient Pre-Treatment Authorization Program (OPAP) Request, Membership Change Form, Specialty drugs, Dental, Billing, Coding, Dental Provider Manual - Claims Processing Policies, GUIDELINE MANAGEMENT, Vision/Eye Care Claim Form - CareFirst | Member, Vision/Eye Care Claim Form, CareFirst BlueCross BlueShield’s Patient-Centered Medical, CareFirst BlueCross BlueShield’s Patient-Centered Medical Home, CareFirst on Call