WebElectronic Fund Transfer (EFT) The following clearinghouses also offer electronic fund transfer (EFT) services (By clicking any of the links below, you will leave the CareFirst website and access a vendor website. The vendor is solely responsible for the services it provides.): ChangeHealthcare at (866) 506-2830; Availity at (800) 282-4548; The … WebDescription. ACH DISPUTE FORM.pdf. Review for fraud to determine if money goes back to member. APPEAL FORM.pdf. Used to submit an appeal on a denial or partial claim denial. AUTHORIZATION FOR DIRECT DEPOSIT.pdf. Used by member to authorize and add/change bank account for claim reimbursement direct deposit.
Cheat Sheet: Important Contact Information for CareFirst …
WebCareFirst 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 BlueCross BlueShield Medicare Advantage P.O. Box 3236 Scranton, PA 18505 Group Medicare Advantage PPO—EGE CareFirst IDs have plan codes 193/693 833‑320‑2566 Fax: … WebFor more information and easy reference, check the 2024 Benefits Book (PDF) For a complete and detailed description of benefits, check the 2024 BlueChoice Brochure (PDF) A new patient-centric, virtual-first primary care practice. Compassionate care for over 100 … long wave ultraviolet light
Forms - CareFirst
WebUniform Consultation Referral Form - CareFirst provider.carefirst.com 3. Submit the completed Uniform Consultation Referral Form to CareFirst BlueChoice (applies to PCP only) by fax to 410-505-6160 or 1-800-354-8205. Forms can also be mailed to: Mail … WebPlease fax the completed form to 410-720-3122 or 410-720-3123. Participating Providers: to initiate a request and to check the status of your request, visit CareFirst Direct at : ... CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst BlueChoice, Inc., The Dental Network and First Care, Inc. are WebCareFirst Provider longwave vs shortwave