Carefirst provider. Members of Private Health Care Systems, or PHCS, can fi...

Find a Doctor or Health Care Facility. Our directory

If you have comments or questions, we want to help you. For technical support, call the CareFirst Help Desk at (877) 526 – 8390. Below is a list that may assist you with your CareFirst provider-related questions. Contact our Credentialing Department to become a participating provider. Find your provider representative. In today’s digital world, email has become an essential part of our daily lives. Whether it’s for personal or professional use, having a reliable and user-friendly email provider i...Serving Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst …In today’s fast-paced world, finding the best utility providers for your address can be a daunting task. With so many options available, it’s important to do your research and make...CareFirst Provider is the official website for providers and physicians who want to access CareFirst Direct, a portal for eligibility and benefits verification, claim status, remittance information, and more. Learn about the medical chart retrieval process, pre-certification/pre-authorization requirements, and other resources and tools for your practice. A new patient-centric, virtual-first primary care practice. Compassionate care for over 100 conditions through an easy-to-use app. 24/7/365. CloseKnit's care teams offer preventative and urgent care, behavioral and mental health, chronic condition prevention, medication management, and more. Individuals interested in purchasing insurance800-544-8703. Looking to renew or change your CareFirst BlueCross BlueShield plan? Members can use this page to learn more about their plans or to login to see more information on their account. and get assistance with health insurance plans.The Addiction Program. For patients struggling specifically with substance use or addiction, CareFirst connects patients with trusted providers in outpatient settings who provide therapy, medication assisted treatment care options, support groups and education as part of Intensive Outpatient Treatment. Learn more about the Addiction …Highlights of the HealthyBlue plans: No referrals. The member must submit the Health and Wellness Evaluation Form to CareFirst once complete. CareFirst members must complete the program requirements within 180 days of their effective date in order to quality for an incentive (Healthy Reward). Overview of CareFirst's HealthyBlue plans for ...Choosing an air ambulance provider isn’t easy, and there are many factors to take into consideration. You should ask yourself if you need an air ambulance or if there’s a more conv...Participating Providers: to initiate a request and to check the status of your request, visit CareFirst Direct at carefirst.com. Please print and complete entire form. Fax form to 410-505-6404. Check all that apply: Physical Therapy (PT) Occupational Therapy (OT) Acupuncture Speech Therapy (ST)To apply for an NPI: Log on to the National Plan and Provider Enumeration System (NPPES) and apply online; or. Obtain a copy of the paper NPI Application/Update Form (CMS-10114) by contacting the NPI Enumerator in one of three ways: Phone: (800) 465-3203 or TTY (800) 692-2326. E-mail: [email protected] update your provider information any time it changes (or at least once a year) within the Provider Portal (CareFirst Direct) or via a Change in Provider Information – Institutional/Ancillary form. Update professional and institutional/ancillary practice information for providers and physicians in the CareFirst BlueCross BlueShield network. 877‐228‐7268. Send claims to your local plan: Mail Administrator P.O. Box 14116 Lexington, KY 40512. Mail Administrator P.O. Box 14114 Lexington, KY 40512. Medicare Advantage HMO—. MAC CareFirst IDs have plan code 193. 855‐290‐5744 Fax: 410‐605‐2566. CareFirst BlueCross BlueShield Medicare Advantage P.O. Box 4495 Scranton, PA 18505.Care first Employee Assistance Programmes are a comprehensive set of services designed to help employers provide a balanced and healthy working environment. Care first solutions are easy to implement, cost effective and have an immediate impact on employee effectiveness, retention and ultimately your bottom line.... Provider Notice. Other Information. Community · Health Insurance Glossary ... CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of ...CareFirst BlueCross BlueShield offers our members the largest network of doctors and providers in Maryland, D.C. and North Virginia. ... Search by name or provider type in our online provider directory. Search For Care. A new patient-centric, virtual-first primary care practice. Compassionate care for over 100 conditions through an easy-to-use ...Whether you are visiting a provider or simply calling our dedicated Customer Service representatives, you can be assured you are receiving quality care and ...Need Help Logging In? Your User ID and Password do not match what we have on file. Your Password is case-sensitive. For example, the system interprets "JDOE123" and …CareFirst CHPDC is the Washington DC provider of Medicaid and Alliance Benefits. A Managed Care Organization committed to providing preventative services and support to its medicaid and alliance enrollees ... Providers; About; Provider. Home; PROVIDER PORTAL LOGIN; Print; Provider Portal Login. CareFirst (CHPDC) Community Health …CareFirst BlueCross BlueShield website for Providers & Physicians. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc., and First Care, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst ... The internet is an essential part of modern life, and having a reliable internet provider is key to staying connected. But with so many options available, it can be difficult to kn...Blue Value Plus Option: This plan is an in-network only HMO plan. You must use in-network providers that participate in the BlueChoice network. If you have a CareFirst Federal Employee Plan or considering changing to CareFirst, our online provider directory will help you find a doctor or medical facility that meets your needs.Whether you need care here in the United States or abroad, you'll have access to health care in more than 190 countries. With a provider network this comprehensive — more than 1 million physicians as well as provider facilities, hospitals and other care centers — most of your care needs are covered in-network, which means savings for you. Provider quick reference guides for providers and physicians in the CareFirst BlueCross BlueShield network. ... In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst ...Our support team is available to help you find the mental health provider for your individual needs and schedule an appointment in a timely fashion. After your appointment, you will receive a follow-up call to get your feedback about the provider and the services you received. The support team can help you: Find a provider Blue Value Plus Option: This plan is an in-network only HMO plan. You must use in-network providers that participate in the BlueChoice network. If you have a CareFirst Federal Employee Plan or considering changing to CareFirst, our online provider directory will help you find a doctor or medical facility that meets your needs. Search for a medical, dental or vision provider by name or type and location in Maryland, Washington D.C., and Northern Virginia. You can also find health care facilities, including hospitals, urgent care and labs, in the same area. Need Help Logging In? Your User ID and Password do not match what we have on file. Your Password is case-sensitive. For example, the system interprets "JDOE123" and …Connecting Maryland-Based Primary Care Providers to Free for-Credit Resources. Complete the Required Model of Care Training Course for 2023 Today! Stay in Control of Your Data with Our Self-Service Tool. CareFirst’s Care Management Updates – Effective January 1, 2023.CareFirst BlueCross BlueShield offers our members the largest network of doctors and providers in Maryland, D.C. and North Virginia. ... Search by name or provider type in our online provider directory. Search For Care. A new patient-centric, virtual-first primary care practice. Compassionate care for over 100 conditions through an easy-to-use ...Medical Policy. The online Medical Policy Reference Manual contains approved medical policies and operating procedures for all products offered by CareFirst. Medical policies, which are based on the most current research available at the time of policy development, state whether a medical technology, procedure, drug or device is: Operating ... Serving Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst …Featured Courses · CareFirst Direct for Dental Providers · Consumer Assessment Healthcare Providers and Systems (CAHPS®) · Understanding Implicit Bias ·...As a CareFirst member, you have access to resources to support you or a loved one. Please call 800-245-7013 for help. ... As a CareFirst member, you have access to providers and resources if you or a loved one is living with a mental health condition or substance use disorder.Provider Manual. CareFirst recently incorporated an FEP section in our new Provider Manual. Found in Chapter 2, the FEP section gives providers a comprehensive overview of FEP benefits, including verifying eligibility requirements, submitting claims, and coordinating benefits with Medicare. You must pay income taxes plus an additional tax of 20 percent on any HSA amount used for non-eligible medical expenses, unless you’re disabled, age 65 or older or die during the year. If you become disabled or reach age 65, withdrawals can be made for non-medical reasons without penalty, but amounts must be reported as taxable income.Resources for CareFirst healthcare delivery partners. CareFirst is committed to a provider experience that is simple, clear and human. Our goal is to create a meaningful and memorable learning experience through educational opportunities tailored to your needs. These resources give you the tools you need to make interacting and working with us ...These doctors guide your care among all your providers. That coordination leads to better communication and better health. ... CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business ...Find a Provider Rep. The representatives below are available for inquiries from our network providers. To find contact information for the Provider Relations Representative in your area, download the appropriate PDF. If you are a provider that has a question regarding claim issues, contact the designated Provider Service area found on the ...877‐228‐7268. Send claims to your local plan: Mail Administrator P.O. Box 14116 Lexington, KY 40512. Mail Administrator P.O. Box 14114 Lexington, KY 40512. Medicare Advantage HMO—. MAC CareFirst IDs have plan code 193. 855‐290‐5744 Fax: 410‐605‐2566. CareFirst BlueCross BlueShield Medicare Advantage P.O. Box 4495 Scranton, PA 18505.CareFirst credentials institutional and ancillary providers prior to contracting and every three years thereafter. Prior to contracting, CareFirst confirms that such providers are in good standing with state and federal regulatory bodies and confirms that the providers have been reviewed and approved by an appropriate accrediting body.Search for Blue Distinction Centers® using CareFirst’s Find A Doctor. directory when you have specialty care needs, such as bariatric, cardiac, transplant, spine, or knee or hip replacement surgery, in the CareFirst Service Area (Maryland, the District of Columbia and Northern Virginia).These facilities have demonstrated expertise in delivering clinically …CareFirst BlueCross BlueShield website for Providers & Physicians. If you cannot complete your eligibility/benefits inquiry online, please contact us at 800-842-5975. Medical Professional Providers: Provider Directory Updates Self-Service tool …Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group …Click this link: Find a Doctor. Select the Continue as Guest option. Enter a city, state or ZIP to optimize your search. Select a network for the CareFirst plan you’re exploring or the one you currently have. Under Browse by Category, click Primary Care and then All Primary Care. You will see a list of PCPs who are in network for CareFirst ... Schedule a time to have a CareFirst representative reach out to you — at your convenience. Log into My Account and schedule a call back today. Member Service Phone Numbers (Monday-Friday, 8 a.m. to 6 p.m.) Members who bought ACA Plans directly from CareFirst (off exchange) 855-444-3122. Members who bought ACA Plans through State Websites (on ... When it comes to protecting your valuable electronic devices, insurance is a must-have. There are many insurance providers out there, but Asurion has gained a reputation as one of ...Search for a medical, dental or vision provider by name or type and location in Maryland, Washington D.C., and Northern Virginia. You can also find health care facilities, including hospitals, urgent care and labs, in the same area. Participation and Credentialing Requirements for Institutional/Ancillary Providers. Submit a completed Request for Information (RFI) Application and a Facility Data Sheet for each location along with all required credentialing documents, by mail or fax to: CareFirst BlueCross BlueShield. 10455 Mill Run Circle. Owings Mills, MD 21117-0825.Employee Securities 10400 Little Patuxent Pkwy. Suite 260 Columbia, MD 21044-3518. P.O. Box 981633 El Paso, TX 79998-1633. Customer Service. 410-997-3300. Call TPA. Prof. 580/Inst. 190. A22 2003. Maryland Electrical Health Fund.Serving Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst …Provider Name Effective Date Reason for Leaving Leaving Service Area Retired Deceased Joining Another Practice Other CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst MedPlus is the business nameProvider Directory Tools Use of this search tool can help you with finding doctors, hospitals, behavioral health, dental, vision, medical supply providers, community clinics and health centers. You can search by name, specialty, hospital or group affiliation, gender, board certification, languages and location.CareFirst offers two online-only newsletters for participating practitioners and their office staff: BlueLink – includes news, administrative updates, policy changes and more for medical providers; BlueImpressions – includes news, administrative updates, upcoming events and more for dental providers; Don't miss the latest headlines and news …If you’re a Medicare beneficiary, you know how important it is to find the right healthcare provider. With so many options out there, it can be overwhelming to choose a doctor or s...Jan 1, 2024 · Connecting Maryland-Based Primary Care Providers to Free for-Credit Resources. Complete the Required Model of Care Training Course for 2023 Today! Stay in Control of Your Data with Our Self-Service Tool. CareFirst’s Care Management Updates – Effective January 1, 2023. Choosing an air ambulance provider isn’t easy, and there are many factors to take into consideration. You should ask yourself if you need an air ambulance or if there’s a more conv...We would like to show you a description here but the site won’t allow us. Professional Provider Manual for providers and physicians in the CareFirst BlueCross BlueShield network. Important information on NASCO’s MOVEit data security incident. ... CareFirst MedPlus is the business name of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). CareFirst of Maryland, Inc., Group Hospitalization and Medical ...CareFirst BlueCross BlueShield offers our members the largest network of doctors and providers in Maryland, D.C. and North Virginia. ... Search by name or provider type in our online provider directory. Search For Care. A new patient-centric, virtual-first primary care practice. Compassionate care for over 100 conditions through an easy-to-use ...At CareFirst Imaging, we focus on providing tailored services with unparalleled care for each and every patient. We set the standard for the culture of care in our community and are dedicated to adhering to a standard of excellence. We offer patients two types of MRI services: High-Field MRI and Upright Open MRI.CareFirst credentials institutional and ancillary providers prior to contracting and every three years thereafter. Prior to contracting, CareFirst confirms that such providers are in good standing with state and federal regulatory bodies and confirms that the providers have been reviewed and approved by an appropriate accrediting body. . May 10, 2018 · CareFirst's Behavioral Health If you have comments or questions, we want to help you. For technical P.O. Box 14114. Lexington, KY 40512-4114. Institutional Providers. Clinical Appeals and Analysis Unit (CAU) CareFirst BlueCross BlueShield. P.O. Box 17636. Baltimore, MD 21298-9375. All Appeal decisions are answered in writing. Please allow 30 days for a response to an Appeal.There are many cable providers out there, but which one is right for you? There are many home internet providers out there. There are also great providers of business internet serv... Why CareFirst? Become a part of the largest pr To find in-network dentists nationwide, please login and click the link to search for a national dental provider. CareFirst Administrators (CFA) is the only third-party administrator in Maryland, D.C. and Northern Virginia providing flexibility and superior service, through the most trusted name in health care—locally through CareFirst ... Participation and Credentialing Requirements for Institutio...

Continue Reading