CareFirst Blue Cross Blue Shield Maryland policies

Search CareFirst Blue Cross Blue Shield Maryland's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

167 public policies Substrate tracks for CareFirst Blue Cross Blue Shield Maryland, by title.

CareFirst Blue Cross Blue Shield Maryland policies
PolicyDetailsCodesSource
1500_claim_form_2012_02FORM 1500 (02-12) · Commercial, Medicaid—Original policy ↗
2026 healthy dc prior authorization quick reference guideMedicaid—Original policy ↗
3: Provider Network Requirements Administrative FunctionsCommercial20Original policy ↗
abridged exchange formulary sum7278 2025Commercial—Original policy ↗
abridged exchange formulary sum7278 2026Commercial—Original policy ↗
aca handicapping labio lingual deviations hld orthodontic treatment score sheet cut0498CUT0498 · Commercial3Original policy ↗
aca salzmann evaluation form for orthodontic services cut0499Commercial—Original policy ↗
Ambulance - elective air transport only10.01.005 · Commercial23Original policy ↗
Applied Behavioral Analysis (ABA)3.01.015 · Commercial—Original policy ↗
Artificial Cervical Disc7.01.100 · Commercial—Original policy ↗
Artificial Insemination4.02.009 · Commercial—Original policy ↗
authorization form inpatient servicesCommercial, Medicaid—Original policy ↗
authorization form outpatient servicesCommercial—Original policy ↗
brand exception request cut9700Commercial—Original policy ↗
caqh proview data sheet cut0299cut0299 · Commercial—Original policy ↗
CareFirst BlueCross BlueShield Advantage Core (HMO) Dental Benefits SummaryDG0117Original policy ↗
CareFirst BlueCross BlueShield Advantage Enhanced (HMO) w/Dental and Vision Add-On Dental Benefits SummaryDG03207Original policy ↗
CareFirst Exchange Formulary 2026sum7277 · Commercial—Original policy ↗
CareFirst Formulary 1Effective Sep 1, 2026 · Commercial—Original policy ↗
CareFirst Formulary 1Effective Sep 1, 2026 · Commercial—Original policy ↗
CareFirst Formulary 1Effective Sep 1, 2026 · Commercial—Original policy ↗
CareFirst Formulary 2Effective Sep 1, 2026 · Commercial—Original policy ↗
CareFirst Formulary 2Effective Sep 1, 2026 · Commercial—Original policy ↗
CareFirst Formulary 2Effective Sep 1, 2026 · Commercial—Original policy ↗
CareFirst Formulary 35T · Effective Sep 1, 2026 · Commercial—Original policy ↗
carefirst formulary 3 2025Formulary 3 5T · Commercial—Original policy ↗
carefirst formulary 3 choice aso 20267564 · Commercial—Original policy ↗
carefirst questionnaire required documentation 2026Commercial, Medicaid—Original policy ↗
change in provider informationCommercial—Original policy ↗
change provider information institutional ancillary cut0337Commercial—Original policy ↗
changes in pcmh provider information cut0276cut0276 · Commercial—Original policy ↗
comprehensive dental reference guide fullCommercial848Original policy ↗
comprehensive dental reference part1 diagnosticCommercial103Original policy ↗
comprehensive dental reference part10 oral maxillofacial surgeryCommercial154Original policy ↗
comprehensive dental reference part11 orthodonticsCommercial26Original policy ↗
comprehensive dental reference part12 adjunctive general servicesCommercial140Original policy ↗
comprehensive dental reference part2 preventitiveCommercial40Original policy ↗
comprehensive dental reference part3 restorativeCommercial90Original policy ↗
comprehensive dental reference part4 endodonticsCommercial50Original policy ↗
comprehensive dental reference part5 periodonticsCommercial50Original policy ↗
comprehensive dental reference part6 removal prosthodonticsCommercial69Original policy ↗
comprehensive dental reference part7 maxillofacial prostheticsCommercial58Original policy ↗
comprehensive dental reference part8 implant servicesCommercial89Original policy ↗
comprehensive dental reference part9 fixed prosthodonticsCommercial63Original policy ↗
continuation of care form for orthodontic treatment cut0507cut0507 · Commercial—Original policy ↗
Continuing Education Registration Form333354 · Commercial—Original policy ↗
continuity of care instructions_sum6554Commercial—Original policy ↗
continuity of care members maryland based plan_cut9155Commercial—Original policy ↗
D.C. Minor Consent for Vaccination Notification FormSUM5825-1E · Commercial—Original policy ↗
dental benefits summary enhanced hmoDG0238Original policy ↗

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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.