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Providers & Physicians Home CareFirst Provider

WebThe largest provider network in the region and a commitment to value-based, preventative care for all. Learn more about what partnership means to CareFirst. Learn more with our …

Actived: 1 days ago

URL: https://provider.carefirst.com/providers/

Quick Reference Guides

WebRequired Documents for Dental Credentialing. Guidelines for Provider Self-Services for Dental Providers. Dental Clinical Criteria. Dental Reference Guide for Required …

Category:  Health Go Health

Clinical Resources

WebClinical Resources. CareFirst's Quality Improvement (QI) program seeks to enrich clinical care and administrative services in every area of the health care delivery system. …

Category:  Health Go Health

Provider Portal (CareFirst Direct) Upgrade CareFirst BlueCross …

WebServing Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and …

Category:  Health Go Health

CareFirst Direct CareFirst BlueCross BlueShield

WebCareFirst Direct. CareFirst Direct is a free, convenient tool that gives you fast access to the information you need. With CareFirst Direct, you can: Make inquiries on your own time. …

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Inquiries & Appeals

WebP.O. Box 17636. Baltimore, MD 21298-9375. All Appeal decisions are answered in writing. Please allow 30 days for a response to an Appeal. IMPORTANT: Do not use a Provider …

Category:  Health Go Health

Institutional/Ancillary Credentialing Overview

WebProviders have the right, upon request, to review the information used in credentialing decisions, to correct inaccurate information and to obtain the status of the credentialing …

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Professional Provider Manual

WebChapter 3: Provider Network Requirements: Administrative Functions. Credentialing. Practice Transformation. Provider Scorecard. Role of the Primary Care Provider (PCP) – …

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Pharmacy Prior Authorization Pharmacy Forms

WebTo submit a prior authorization request online, log in to the Provider Portal and navigate to the Prior Auth/Notifications tab. For more information, please complete our Medication …

Category:  Health Go Health

Provider Quick Reference Guide

Web877‐228‐7268. 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 …

Category:  Health Go Health

Company Overview CareFirst BlueCross BlueShield

WebCompany Mission. The mission of CareFirst BlueCross BlueShield is to provide health benefit services of value to customers across the region comprised of Maryland and the …

Category:  Health Go Health

Health Screening Form

WebIf you don’t have Internet access, you can submit this form by fax to 800-354-8205 or by mail to: Mail Administrator, P.O. Box 14116, Lexington, KY 40512-4116. (continued) Notice of …

Category:  Health Go Health

PRIOR AUTHORIZATION CRITERIA

WebFortamet,Glutmetza Policy 1517- A07-2017 CVS Caremark is an independent company that provides pharmacy benefit management services to CareFirst BlueCross BlueShield and …

Category:  Health Go Health

Electronic Capabilities

WebThe vendor is solely responsible for the services it provides.): ChangeHealthcare at (866) 506-2830. Medical and Hospital EFT Enrollment Forms | Change Healthcare. Availity at …

Category:  Medical Go Health

Professional Reference Card

WebCareFirst on Call Professional Reference Card Commercial: 800-842-5975 202-479-6560 NASCO Service and Out-of-Area Claims: 877-228-7268 FEP (Northern VA, DC, …

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Behavioral Health Request for Authorization Form

WebUtilization Management Behavioral Health Request for Authorization Form. For all Mental Health (MH) and Substance Use Disorder (SUD) service requests, please complete all …

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SPECIALTY GUIDELINE MANAGEMENT

WebReference number(s) 3000 -A Jetrea 3000-A SGM P2019 © 2019 CVS Caremark. All rights reserved. This document contains confidential and proprietary information of CVS

Category:  Health Go Health

CareFirst Acquires Trusted Health Plan in Washington, D.C. and …

WebCareFirst has acquired Trusted Health Plan (Trusted), a managed Medicaid plan serving approximately 35,000 members in Washington, D.C. There will be no …

Category:  Health Go Health

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