CareFirst Administration logo
Log In or Register
search

Patient Claims, Eligibility and Benefits

Frequently Asked Questions

It’s important to connect with your patients regarding any pre-certification and preauthorization information, which vary by plan. The patient may be subject to additional charges if he/she doesn’t receive this documentation, when required. Log in to access more detailed information.

Expand All | Collapse All

Does my practice handle all CFA claims processing (self-service?)

Yes. You can easily send claims electronically using payer code 75191. If electronic claims submission is not part of your current process, please contact our preferred clearinghouse, Change Healthcare, for assistance.

Please note: By clicking any of the links below, you’ll be leaving our website and transitioning to a vendor website. Vendors are solely responsible for the services they provide.

Contact Change Healthcare (formerly EMDEON) at (866)-369-8805

For correspondence about claims submissions:

  • Providers outside the CareFirst service area (Maryland, D.C. and portions of Northern Virginia) should submit all claims and correspondence to your local Blue Cross Blue Shield Plan.
  • Providers within the CareFirst service area (Maryland, D.C. and portions of Northern Virginia) can submit all claims and correspondence to:

    Mail Administrators
    P.O. Box 981608
    El Paso, TX 79998

Follow these steps:

  1. Log in to the CareFirst Administrators provider portal.
  2. Under the Status tab, click Claims History.
  3. Enter your patient’s group number, member ID and a claim start date to search for a claim.
  4. Click Submit. This will generate a list of claims matching the date of service you entered. Click a specific claim to view the EOB and other information.

Yes. You can receive payments via Electronic Funds Transfer (EFT).

If you wish to enroll in EFT:

  1. Go to Change Healthcare
  2. Complete and submit the form titled EPayment Enrollment Authorization Form – Initial EFT Enrollment. Please allow 15 days for the form to be processed.
  3. After enrollment is complete, confirm that Change Healthcare has made a deposit to your bank account. Once confirmed, you will receive access to the Payment Manager tool.
  4. You can use Payment Manager to search, view, download and print ERAs.
  5. Contact your financial institution to get the CCD+ reassociation number.

If you have questions or need help with any of the forms, please call 866-506-2830 and select option 1.

Expand All | Collapse All