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Government Programs
Specialty topics and courses dedicated to our Government Programs healthcare delivery partners.
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Self-paced module | 15 minutes | All Medical CareFirst CHPMD and CareFirst Advantage DualPrime Providers
An overview of information providers need to orient themselves to CareFirst BlueCross BlueShield Community Health Plan Maryland (CareFirst CHPMD) and CareFirst BlueCross BlueShield DualPrime (HMO-SNP) plans.
This course is comprised of three segments:
- Section 1: General Information
- Section 2: Administrative Processes
- Section 3: Programs and Services
Entering Online Authorizations - CareFirst CHPMD and CareFirst Advantage DualPrime
Self-paced module | 2 minutes | All Medical CareFirst CHPMD and CareFirst Advantage DualPrime Providers
A step-by-step guide to entering authorizations online via the authorization system.
CareFirst Advantage DualPrime Special Needs Plan (SNP) - Model of Care
Self-paced Module | 15 minutes | All Advantage DualPrime Providers
This course will describe how CareFirst BlueCross BlueShield Advantage DualPrime and its contracted providers work together to successfully deliver the Special Needs Plan (SNP) Model of Care program.
CareFirst BlueCross BlueShield Individual Medicare Advantage (MA) (PPO) for Providers
Self-paced Module | 15 minutes | All Medical Providers
An overview of the CareFirst BlueCross BlueShield Individual Medicare Advantage (MA) (PPO) product offerings and navigating healthcare options for your Medicare Advantage patients.
- Individual Medicare Advantage PPO Plan overview
- How to Identify Member ID Cards
- How to Determine Which Networks You Participate In
- How to Verify Eligibility and Benefits
- Authorizations
- Claims, Appeals and Disputes