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Coverage profile

Work CareFirst BlueCross BlueShield District of Columbia (NCA) 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.

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with CareFirst BlueCross BlueShield District of Columbia (NCA).

Available

Portal claim status

Browser automation

The Substrate Claim Status Agent can check claim status via the payer portal for CareFirst BlueCross BlueShield District of Columbia (NCA).

Supported

Other aliases

Also known as

  • 00080
  • 11102
  • 1509
  • 2425
  • BCDCC
  • DCBCBS
  • DCBLS
  • SB580
  • SB580MA
  • BCBS DC and National Capital Area
  • CareFirst Blue Cross Blue Shield
  • CAREFIRST BCBS DISTRICT OF COLUMBIA NCA
  • CAREFIRST BLUECROSS BLUESHIELD
  • CAREFIRST BCBS DISTRICT OF COLUMBIA

BlueCard home-plan routing

These 335 member ID prefixes resolve to CareFirst BlueCross BlueShield District of Columbia (NCA) 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

Review CareFirst BlueCross BlueShield District of Columbia (NCA)’s 2027 OB/GYN billing guidance, plan-specific updates and policy sources.

No 2027 notice found

No 2027 maternity notice from CareFirst BlueCross BlueShield District of Columbia (NCA) was found. The billing page shows the current policy and the date it was last checked.

Policy Updated At
No published date
CareFirst BlueCross BlueShield District of Columbia (NCA) 2027 OB/GYN billing page →

Payer policies

CareFirst BlueCross BlueShield District of Columbia (NCA) policies

The first 25 of 167 public policies Substrate tracks for CareFirst BlueCross BlueShield District of Columbia (NCA), by title. Links open the payer's own document; check its current version before relying on it.

Search all 167 CareFirst BlueCross BlueShield District of Columbia (NCA) policies by CPT code, keyword or policy number →

Routing reference

CareFirst BlueCross BlueShield District of Columbia (NCA) 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 BlueCross BlueShield District of Columbia (NCA) payer name, operating states, and transaction-specific payer IDs
Payer nameCareFirst BlueCross BlueShield District of Columbia (NCA)Source: Substrate payer directory · data last changed
Operating statesDC, GASource: Substrate payer directory · data last changed
837P professional claims payer IDStediSB580Source: Stedi payer catalog · catalog dated · matched by payer ID
837I institutional claims payer IDStediSB580Source: Stedi payer catalog · catalog dated · matched by payer ID
835 ERA payer IDStediSB580Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDStediSB580Source: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDAvailityBCDCCSource: 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 BlueCross BlueShield District of Columbia (NCA). 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 DISTRICT OF COLUMBIA. 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 ↗

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

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
CareFirst BlueCross BlueShield District of Columbia (NCA) phone numbers
Channel and numberPayer NotesDepartmentSpecialties
phone(800) 322-6384Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DENTI-CAL
Dental Care
phone(800) 335-8289Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DELTA DENTAL OF VA
Dental Care
phone(800) 441-9188Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Customer Service
Hospital, Hospital - Inpatient
phone(800) 451-0287Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CUSTOMER SERVICE
Hospital, Hospital - Inpatient
phone(800) 524-0149Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DELTA DENTAL OF OHIO
Dental Care
phone(800) 676-2583Eligibility / benefits, Other stated contextBenefit context: Active Coverage; Benefit context: Contact Following Entity for Eligibility or Benefit Information
  • CAPITAL BLUE CROSS
  • Customer Service
Health Benefit Plan Coverage, Hospital, Hospital - Inpatient
phone(800) 877-7195Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • VSP
Vision (Optometry)
phone(800) 972-8088Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CUSTOMER SERVICE
Hospital, Hospital - Inpatient
phone(800) 977-2273Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MAGELLAN
Pharmacy
phone(833) 812-1800Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment
  • CARELONRX
  • UTILIZATION MANAGEMENT
Chiropractic, Pharmacy
phone(844) 684-2255Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EYEMED
Vision (Optometry)
phone(855) 592-2895Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • BLUE VIEW VISION
Vision (Optometry)
phone(855) 811-2218Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • OPTUMRX
Pharmacy
phone(877) 799-5783Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • ESI
Pharmacy
phone(888) 334-0870Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MEDI-CAL BHA
Mental Health
phone(800) 274-7767Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(800) 832-7850Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(844) 889-2273Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Professional (Physician) Visit - Office
phone(855) 343-4851Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(866) 470-6244Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(866) 773-2884Other stated context, Utilization managementBenefit context: Co-Insurance; Benefit context: Contact Following Entity for Eligibility or Benefit Information
  • Pre Service Review
  • UTILIZATION MANAGEMENT
Hospital - Inpatient
phone(877) 867-7610Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(866) 688-2242PharmacyBenefit context: Active Coverage
  • PRIME THERAPEUTICS
Pharmacy
phone(866) 322-1657Behavioral healthBenefit context: Active Coverage
  • BEHAVIORAL HEALTH MANAGER
Mental Health
phone(800) 344-5245Other stated contextBenefit context: Active Coverage
  • HIGHMARK WV MEDICAL MANAGEMENT & POLICY
Hospital
phone(800) 452-8507Other stated contextBenefit context: Active - Pending Investigation; Benefit context: Active Coverage
  • HIGHMARK MEDICAL MANAGEMENT & POLICY
Hospital
phone(800) 572-2872Other stated contextBenefit context: Active Coverage
  • BCBSDE MANAGED CARE
Hospital
phone(800) 827-4814Other stated contextBenefit context: Limitations
  • SKAI BLUE CROSS AND BLUE SHIELD
Hospital - Inpatient
phone(800) 841-9659Other stated contextBenefit context: Co-Insurance
  • BCBS OF MISSISSIPPI
Hospital
phone(800) 920-2485Other stated contextBenefit context: Active Coverage
  • EXCELLUS BLUE CROSS BLUE SHIELD
Health Benefit Plan Coverage
phone(833) 592-9956Other stated contextBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Hospital
phone(844) 241-7087Other stated contextBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Chiropractic
phone(855) 798-2627Other stated contextBenefit context: Other or Additional Payor
  • MEDICARE PART A ONLY

Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.

Fax numbers2
CareFirst BlueCross BlueShield District of Columbia (NCA) fax numbers
Channel and numberPayer NotesDepartmentSpecialties
fax(410) 781-7661Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • UTILIZATION MANAGEMENT
fax(800) 348-3804Other stated contextBenefit context: Co-Insurance
  • BCBS OF MISSISSIPPI
Hospital

Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.

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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