CareFirst BlueCross BlueShield
Also covers / subsidiaries: CareFirst, CFBCBS
Core Payer & Clearinghouse Profile
Electronic Payer ID
00580
00580 is the main CareFirst BCBS claims payer ID; CareFirst Community Health Plan (Medicaid) and CareFirst Administrators (TPA) use different IDs/addresses.
Timely Filing Limit (TFL)
Commonly 365 days from date of service (participating providers); MA/Medicaid/employer products may differ
Appeal Window
Appeals per the CareFirst provider manual; verify deadlines by product
Clearinghouse Gateway
Availity Essentials
Provider Services
Varies — confirm via portal / clearinghouse
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://provider.carefirst.com
Serves Maryland, DC, and parts of Northern Virginia. Confirm payer ID 00580 and timely filing on provider.carefirst.com.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for CareFirst BlueCross BlueShield.
Resolution Tools for CareFirst BlueCross BlueShield Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
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