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Check eligibility on CareFirst Administrators. Payer ID 75191

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Bundled codes for maternity are deleted January 1, 2027Get ready for the change >>

Coverage profile

Work CareFirst Administrators across every published route

Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with CareFirst Administrators.

Supported

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with CareFirst Administrators.

Available

Portal claim status

Browser automation

The Substrate Claim Status Agent can check claim status via the payer portal for CareFirst Administrators.

Supported

Other aliases

Also known as

  • 12273
  • 3874
  • 75191
  • CFCHL
  • CFA, LLC
  • National Claims Administrative Services Charlotte
  • National Claims Administrative Services Charlotte North Carolina
  • NCAS CHARLOTTE NORTH CAROLINA
  • NCAS-CHARLOTTE
  • NCASCHRLTT
  • NCAS FAIRFAX VIRGINIA
  • CAREFIRST BLUECROSS BLUESHIELD

Frequently asked questions

CareFirst Administrators payer FAQs

How do I check claim status with CareFirst Administrators?

Providers check CareFirst Administrators via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.

What is the payer ID for CareFirst Administrators?

The primary payer ID for CareFirst Administrators is 75191. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.

What is the provider portal for CareFirst Administrators?

The provider portal for CareFirst Administrators is https://apps.availity.com/. Available features depend on the payer and your account.

What are the 837 payer IDs for CareFirst Administrators?

The 837P and 837I payer ID for CareFirst Administrators is 75191 via Stedi.

What is the 835 payer ID for CareFirst Administrators?

The 835 payer ID for CareFirst Administrators is 75191 via Stedi.

What is the 270 payer ID for CareFirst Administrators?

The 270 payer ID for CareFirst Administrators is 75191 via Stedi.

What is the 276 payer ID for CareFirst Administrators?

The 276 payer ID for CareFirst Administrators is 75191 via Stedi.

What states does CareFirst Administrators operate in?

CareFirst Administrators operates in DC, MD, and VA.

Routing reference

CareFirst Administrators payer IDs and operating states

Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.

CareFirst Administrators payer name, operating states, and transaction-specific payer IDs
Payer nameCareFirst AdministratorsSource: Substrate payer directory · data last changed
Operating statesDC, MD, VASource: Substrate payer directory · data last changed
837P professional claims payer IDStedi75191Source: Stedi payer catalog · catalog dated · matched by payer ID
837I institutional claims payer IDStedi75191Source: Stedi payer catalog · catalog dated · matched by payer ID
835 ERA payer IDStedi75191Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDStedi75191Source: Stedi payer catalog · catalog dated · matched by payer ID
276 claim status payer IDStedi75191Source: Stedi payer catalog · catalog dated · matched by payer ID

Routing sources and verification

  • Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
  • Stedi payer catalogMatched by payer ID; matched record: CareFirst Administrators. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
  • United Clearinghouse payer catalogMatched by payer name; matched record: CareFirst Administrators. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗

Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.

Payer contact directory

CareFirst Administrators phone and fax numbers

Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.

Utilization management phone
(866) 773-2884UTILIZATION MANAGEMENT
Utilization management fax
(410) 781-7661UTILIZATION MANAGEMENT
CareFirst Administrators payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
fax(410) 781-7661Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • UTILIZATION MANAGEMENT
phone(866) 773-2884Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • UTILIZATION MANAGEMENT

Phone and fax numbers sourced directly from the payer response

Phone menu guides

Not affiliated with CareFirst Administrators or BCBSA.

Confirm routing with your clearinghouse. Report an error

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.