Routing destination
CareFirst BlueCross BlueShield
The first three characters on the member’s current ID card identify this BlueCard home plan. Use the terminal trading partner below for the published electronic routes.
Enhanced claim statusEDI 276/277, Availity ECS, or portal automation
Available
EligibilityEDI 270/271
Available
Appeals agentAI appeals workflow
Not published
Phone and fax contacts
Numbers vary by plan, service, and department. Check the member’s ID card before calling or sending a fax.
Phone lines1
- (202) 484-1650CareFirst Blue Cross Blue Shield Federal Employee ProgramFederal Employee Program line for CareFirst Blue Cross Blue Shield that routes providers, pharmacy questions, open season questions and other requests.Answered by: Automated phone menu
Phone numbers33
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(800) 322-6384 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 335-8289 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 441-9188 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(800) 451-0287 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(800) 524-0149 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 676-2583 | Eligibility / benefits, Other stated contextBenefit context: Active Coverage; Benefit context: Contact Following Entity for Eligibility or Benefit Information |
| Health Benefit Plan Coverage, Hospital, Hospital - Inpatient |
| phone(800) 877-7195 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(800) 972-8088 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(800) 977-2273 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(833) 812-1800 | Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment |
| Chiropractic, Pharmacy |
| phone(844) 684-2255 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(855) 592-2895 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(855) 811-2218 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(877) 799-5783 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(888) 334-0870 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Mental Health |
| phone(800) 274-7767 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(800) 832-7850 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(844) 889-2273 | Utilization managementBenefit context: Co-Insurance |
| Professional (Physician) Visit - Office |
| phone(855) 343-4851 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(866) 470-6244 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(866) 773-2884 | Other stated context, Utilization managementBenefit context: Co-Insurance; Benefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital - Inpatient |
| phone(877) 867-7610 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(866) 688-2242 | PharmacyBenefit context: Active Coverage |
| Pharmacy |
| phone(866) 322-1657 | Behavioral healthBenefit context: Active Coverage |
| Mental Health |
| phone(800) 344-5245 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(800) 452-8507 | Other stated contextBenefit context: Active - Pending Investigation; Benefit context: Active Coverage |
| Hospital |
| phone(800) 572-2872 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(800) 827-4814 | Other stated contextBenefit context: Limitations |
| Hospital - Inpatient |
| phone(800) 841-9659 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(800) 920-2485 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(833) 592-9956 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(844) 241-7087 | Other stated contextBenefit context: Co-Insurance |
| Chiropractic |
| phone(855) 798-2627 | Other stated contextBenefit context: Other or Additional Payor |
|
Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.
Fax numbers2
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| fax(410) 781-7661 | Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| |
| fax(800) 348-3804 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.
Member ID guidance
Read the prefix from the current card.
Do not infer a prefix from another member or an older card. Federal Employee Program IDs beginning with a single “R” follow a separate route.
Masked formats use L for a letter, N for a number, and ? for an unknown character. No member IDs are published.
Evidence
Source and verification
- Prefix, home plan, and state
- Substrate BlueCard mapping snapshot. Data last changed ; checked . Check the current prefix with BCBS ↗
- Terminal payer and payer ID
- Linked to the directory’s terminal payer record, checked . Open the payer routing sources →
- Availability signals
- Substrate’s reviewed route configuration and claim-status network, checked .
Use the member’s current ID card and confirm the current payer or clearinghouse route before submission. Prefix associations and transaction support can change.