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Check eligibility on CareFirst BCBS MD. Payer ID SB690

CareFirst BCBS MD

CareFirst Blue Cross Blue Shield Maryland logo
  • Primary payer IDCompare transaction IDs ↓
  • Last successful claim statusWithin the past 48 hoursObserved across Substrate's payer network.

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

Coverage profile

Work CareFirst Blue Cross Blue Shield Maryland 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 Blue Cross Blue Shield Maryland.

Supported

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with CareFirst Blue Cross Blue Shield Maryland.

Available

Coordination of benefits

Real-time check

The Substrate Eligibility Agent can check coordination of benefits for other active coverage and primary or secondary order with CareFirst Blue Cross Blue Shield Maryland.

Available

Portal claim status

Browser automation

The Substrate Claim Status Agent can check claim status via the payer portal for CareFirst Blue Cross Blue Shield Maryland.

Supported

Appeals agent

AI appeals workflow

The Substrate Appeals Agent can submit appeals for RFIs, medical record requests, downcoding reconsiderations, and more via the payer portal for CareFirst Blue Cross Blue Shield Maryland.

Available

Other aliases

Also known as

  • 00190
  • 00690
  • 10095
  • 10270
  • 12011
  • 190
  • 2419
  • MDBCBS
  • MDBLS
  • SB690
  • SB690MA
  • Blue Cross Blue Shield of Maryland / Carefirst
  • CareFirst Blue Cross Blue Shield
  • CareFirst Blue Cross Blue Shield Maryland - Medicare Advantage
  • CAREFIRST BCBS MARYLAND DENTAL
  • CAREFIRST BCBS MARYLAND
  • CAREFIRST BCBS OF MARYLAND
  • CAREFIRST BCBS
  • CAREFIRST BLUECROSS BLUESHIELD

BlueCard home-plan routing

These 638 member ID prefixes resolve to CareFirst Blue Cross Blue Shield Maryland as their terminal payer. Open a prefix to review its home plan, state, payer ID, and published routes.

Member ID prefixes

2027 maternity billing research

When does CareFirst Blue Cross Blue Shield Maryland change OB/GYN billing?

No 2027 notice found

No 2027 maternity notice from CareFirst BlueChoice was found. The billing page shows the current policy and the date it was last checked.

Transition: Not published

CareFirst Blue Cross Blue Shield Maryland 2027 OB/GYN billing page →

Payer policies

CareFirst Blue Cross Blue Shield Maryland policies

The first 25 of 167 public policies Substrate tracks for CareFirst Blue Cross Blue Shield Maryland, by title. Links open the payer's own document; check its current version before relying on it.

Search all 167 CareFirst Blue Cross Blue Shield Maryland policies by CPT code, keyword or policy number →

Frequently asked questions

CareFirst Blue Cross Blue Shield Maryland payer FAQs

How do I check claim status with CareFirst Blue Cross Blue Shield Maryland?

Providers check CareFirst Blue Cross Blue Shield Maryland 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 Blue Cross Blue Shield Maryland?

The primary payer ID for CareFirst Blue Cross Blue Shield Maryland is SB690. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.

What are the 837 payer IDs for CareFirst Blue Cross Blue Shield Maryland?

The 837P and 837I payer ID for CareFirst Blue Cross Blue Shield Maryland is 00580 via Stedi.

What is the 835 payer ID for CareFirst Blue Cross Blue Shield Maryland?

The 835 payer ID for CareFirst Blue Cross Blue Shield Maryland is 00580 via Stedi.

What is the 270 payer ID for CareFirst Blue Cross Blue Shield Maryland?

The 270 payer IDs for CareFirst Blue Cross Blue Shield Maryland are 00580 via Stedi and 190 via Availity.

What is the 276 payer ID for CareFirst Blue Cross Blue Shield Maryland?

The 276 payer IDs for CareFirst Blue Cross Blue Shield Maryland are 00580 via Stedi and 190 via Availity.

What is coordination of benefits on CareFirst Blue Cross Blue Shield Maryland?

A coordination of benefits check for CareFirst Blue Cross Blue Shield Maryland can return other active plans, whether coverage overlaps, and a primary or secondary order when that order can be determined. Results can be partial. Enrollment is not required for this check. It is separate from the 270 eligibility payer ID.

What states does CareFirst Blue Cross Blue Shield Maryland operate in?

CareFirst Blue Cross Blue Shield Maryland operates in DC, DE, FL, MD, NC, PA, VA, and WV.

Resource library

Routing reference

CareFirst Blue Cross Blue Shield Maryland 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 Blue Cross Blue Shield Maryland payer name, operating states, and transaction-specific payer IDs
Payer nameCareFirst Blue Cross Blue Shield MarylandSource: Substrate payer directory · data last changed
Operating statesDC, DE, FL, MD, NC, PA, VA, WVSource: Substrate payer directory · data last changed
837P professional claims payer IDStedi00580Source: Stedi payer catalog · catalog dated · matched by payer ID
837I institutional claims payer IDStedi00580Source: Stedi payer catalog · catalog dated · matched by payer ID
835 ERA payer IDStedi00580Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDStedi00580Source: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDAvaility190Source: Availity payer catalog · catalog dated · matched by payer name
276 claim status payer IDStedi00580Source: Stedi payer catalog · catalog dated · matched by payer ID
276 claim status payer IDAvaility190Source: Availity payer catalog · catalog dated · matched by payer name

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 Blue Cross Blue Shield Maryland. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
  • Availity payer catalogMatched by payer name; matched record: CAREFIRST BCBS. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
  • United Clearinghouse payer catalogMatched by payer name; matched record: CareFirst Blue Cross Blue Shield Maryland. 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 Blue Cross Blue Shield Maryland phone and fax numbers

Phone menu guides

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.

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