Member Resources

Who to Call

Where to Write

CareFirst BlueCross BlueShield Medicare Advantage
Member Services
PO Box 915
Owings Mills, MD 21117

Where to Send Premium Billing Forms

Where to Submit Claims

Medical and Hospital Claims

Providers: Effective March 6, we are now accepting electronic claims through Availity for our CareFirst Community Health Plan Maryland (CareFirst CHPMD) and CareFirst Advantage DSNP, Inc. (DSNP) products.

For continuity of electronic claims submission, CareFirst recommends providers that were directly contracted with Change Healthcare for medical claims submission transition to Availity. Please find resources to support registering with Availity here: Availity Essentials Portal Registration.

If you use another EDI vendor who uses Change Healthcare as an intermediary for medical claims submission, we recommend you work with your vendor to reroute medical claims through Availity. Any medical claims submitted to CareFirst using or passing through Change Healthcare since February 21 for the products mentioned above should be resubmitted to CareFirst once connection to Availity has been established.

Any paper claims should be submitted to:

CareFirst BlueCross BlueShield Medicare Advantage
PO Box 14361
Lexington, KY 40512

Members: Please submit your claims for reimbursement to:
CareFirst BlueCross BlueShield Medicare Advantage Claims Reimbursement
PO Box 915
Owings Mills, MD 21117

Behavioral Health Claims
CareFirst BlueCross BlueShield Medicare Advantage c/o Carelon Behavioral Health P.O. Box 1850 Hicksville, NY 11802-1850

Part D Drug Claims
CareFirst BlueCross BlueShield Medicare Advantage
c/o CVS Caremark
P.O. Box 52066
Phoenix, AZ 85072-2066

Where to Submit Appeals and Grievances

Grievances

Appeals

Important Note: Requests for “Expedited” or “Fast” Appeals may be made verbally; but all Standard Appeals must still be made in writing.