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 270/271The 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 automationThe Substrate Claim Status Agent can check claim status via the payer portal for CareFirst BlueCross BlueShield District of Columbia (NCA).
Available
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
BCBS prefixes for CareFirst BlueCross BlueShield District of Columbia (NCA)
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
A2VBCBS prefixA3DBCBS prefixA3FBCBS prefixA3OBCBS prefixA3UBCBS prefixA3XBCBS prefixA4ABCBS prefixA4BBCBS prefixA4CBCBS prefixA4HBCBS prefixA4IBCBS prefixA4LBCBS prefixA4NBCBS prefixA4OBCBS prefixA4RBCBS prefixA4UBCBS prefixA4VBCBS prefixA4WBCBS prefixA4XBCBS prefixA5ABCBS prefixA5DBCBS prefixA5FBCBS prefixA5HBCBS prefixA5IBCBS prefixA5KBCBS prefixA5PBCBS prefixA5TBCBS prefixA5UBCBS prefixA5VBCBS prefixA5ZBCBS prefixA6BBCBS prefixA6GBCBS prefixA6XBCBS prefixA6YBCBS prefixA7ABCBS prefixA7BBCBS prefixA7DBCBS prefixA7FBCBS prefixA7IBCBS prefixA7NBCBS prefixA7OBCBS prefixA7QBCBS prefixA7RBCBS prefixA7UBCBS prefixA7VBCBS prefixA7WBCBS prefixA7YBCBS prefixA8EBCBS prefixA8HBCBS prefixA8JBCBS prefixA8NBCBS prefixA8WBCBS prefixA8XBCBS prefixA9JBCBS prefixA9RBCBS prefixA9SBCBS prefixACMBCBS prefixAHRBCBS prefixAIVBCBS prefixAJUBCBS prefixASMBCBS prefixATGBCBS prefixB2GBCBS prefixB2IBCBS prefixB2KBCBS prefixB2MBCBS prefixB2PBCBS prefixB2QBCBS prefixB2TBCBS prefixB2UBCBS prefixB2VBCBS prefixB2YBCBS prefixB2ZBCBS prefixB3ABCBS prefixB3CBCBS prefixB3MBCBS prefixB3SBCBS prefixB3VBCBS prefixB4IBCBS prefixB4JBCBS prefixB4LBCBS prefixB4NBCBS prefixB4OBCBS prefixB4QBCBS prefixB4XBCBS prefixB4YBCBS prefixB4ZBCBS prefixB5GBCBS prefixB5HBCBS prefixB5JBCBS prefixB5KBCBS prefixB5MBCBS prefixB5NBCBS prefixB5PBCBS prefixB5QBCBS prefixB5RBCBS prefixB5UBCBS prefixB5WBCBS prefixB7BBCBS prefixB7KBCBS prefixB9SBCBS prefixB9VBCBS prefixB9XBCBS prefixB9ZBCBS prefixBNHBCBS prefixBRBBCBS prefixC2XBCBS prefixC4SBCBS prefixC7PBCBS prefixC8LBCBS prefixC8YBCBS prefixC9GBCBS prefixC9WBCBS prefixCFIBCBS prefixCFOBCBS prefixCOCBCBS prefixD3PBCBS prefixD4YBCBS prefixD5CBCBS prefixD5DBCBS prefixD5EBCBS prefixD5LBCBS prefixD5QBCBS prefixD5RBCBS prefixD5UBCBS prefixD5XBCBS prefixD5YBCBS prefixD6EBCBS prefixD6FBCBS prefixD6HBCBS prefixD6KBCBS prefixD6LBCBS prefixD6NBCBS prefixD6QBCBS prefixD6UBCBS prefixD6WBCBS prefixD6XBCBS prefixD6ZBCBS prefixD7EBCBS prefixD7JBCBS prefixD7PBCBS prefixD7SBCBS prefixD7XBCBS prefixD7YBCBS prefixD7ZBCBS prefixD8EBCBS prefixD8HBCBS prefixD8JBCBS prefixD8KBCBS prefixD8PBCBS prefixD8RBCBS prefixD8SBCBS prefixD8TBCBS prefixD8UBCBS prefixD8WBCBS prefixD8XBCBS prefixD9DBCBS prefixD9FBCBS prefixD9KBCBS prefixD9NBCBS prefixD9PBCBS prefixD9UBCBS prefixD9WBCBS prefixD9XBCBS prefixDJPBCBS prefixDNPBCBS prefixDQLBCBS prefixDRSBCBS prefixDTABCBS prefixDXHBCBS prefixDYKBCBS prefixDYPBCBS prefixDZBBCBS prefixDZQBCBS prefixE3WBCBS prefixE4GBCBS prefixE4RBCBS prefixE4UBCBS prefixE4YBCBS prefixE5FBCBS prefixE5GBCBS prefixE5JBCBS prefixE5UBCBS prefixE5WBCBS prefixE5YBCBS prefixE5ZBCBS prefixE6BBCBS prefixE6XBCBS prefixE7RBCBS prefixE7TBCBS prefixE7VBCBS prefixE7XBCBS prefixE7YBCBS prefixE8JBCBS prefixE8KBCBS prefixE8LBCBS prefixE8RBCBS prefixE8UBCBS prefixE8VBCBS prefixE8WBCBS prefixE8YBCBS prefixE9FBCBS prefixE9JBCBS prefixE9PBCBS prefixE9TBCBS prefixE9ZBCBS prefixEGEBCBS prefixEHABCBS prefixEIABCBS prefixEKVBCBS prefixF5EBCBS prefixF5FBCBS prefixF5HBCBS prefixF5RBCBS prefixF5SBCBS prefixF5UBCBS prefixF6CBCBS prefixF6DBCBS prefixF6ZBCBS prefixF7EBCBS prefixF7KBCBS prefixF7VBCBS prefixF9ABCBS prefixFVEBCBS prefixFWEBCBS prefixFXXBCBS prefixG5ZBCBS prefixG7JBCBS prefixG7NBCBS prefixG8XBCBS prefixG9JBCBS prefixG9KBCBS prefixG9SBCBS prefixGOKBCBS prefixGOMBCBS prefixGPVBCBS prefixGPYBCBS prefixH2VBCBS prefixH6EBCBS prefixH9SBCBS prefixJ3MBCBS prefixJ3TBCBS prefixJ3VBCBS prefixJ3YBCBS prefixJ4XBCBS prefixJ7KBCBS prefixJDOBCBS prefixJEFBCBS prefixJEOBCBS prefixJFZBCBS prefixJSCBCBS prefixJXRBCBS prefixK4GBCBS prefixK4TBCBS prefixKBPBCBS prefixKJBBCBS prefixKKWBCBS prefixKNVBCBS prefixL3JBCBS prefixL5ABCBS prefixL5VBCBS prefixL8ABCBS prefixLHQBCBS prefixLKHBCBS prefixM4XBCBS prefixM5JBCBS prefixM5PBCBS prefixM5VBCBS prefixM6DBCBS prefixM6PBCBS prefixM6RBCBS prefixM6TBCBS prefixM7LBCBS prefixM7RBCBS prefixM8CBCBS prefixMACBCBS prefixMDDBCBS prefixMKMBCBS prefixMKZBCBS prefixMMBBCBS prefixMSMBCBS prefixMXJBCBS prefixN2HBCBS prefixN2RBCBS prefixN2WBCBS prefixN3DBCBS prefixN3PBCBS prefixN4ABCBS prefixN5EBCBS prefixN5MBCBS prefixN6WBCBS prefixN6YBCBS prefixN9CBCBS prefixNMSBCBS prefixOAQBCBS prefixOBLBCBS prefixOWDBCBS prefixP4GBCBS prefixP5DBCBS prefixP6RBCBS prefixP6TBCBS prefixP7DBCBS prefixP7VBCBS prefixPCRBCBS prefixQULBCBS prefixR4MBCBS prefixR5ABCBS prefixR5TBCBS prefixR8GBCBS prefixS3JBCBS prefixS4JBCBS prefixS4TBCBS prefixS4ZBCBS prefixS7MBCBS prefixS9EBCBS prefixSXTBCBS prefixT5IBCBS prefixT8ABCBS prefixT9QBCBS prefixT9TBCBS prefixT9VBCBS prefixTHBBCBS prefixU4ABCBS prefixU5LBCBS prefixULLBCBS prefixW4CBCBS prefixW6SBCBS prefixW7MBCBS prefixW8TBCBS prefixWFJBCBS prefixX2LBCBS prefixXWFBCBS prefixXWWBCBS prefixY2FBCBS prefixYOYBCBS prefix
2027 maternity billing research
When does CareFirst BlueCross BlueShield District of Columbia (NCA) change OB/GYN billing?
Current policy only
This chapter directs providers to follow CPT maternity reporting guidelines, including non-global services, and refers to Medical Policy 4.01.006A and Payment Policy PP CO 080.01. It states no implementation date for the 2027 maternity CPT deletion.
- Transition start
- Not stated in this chapter
- Billing start
- Not stated in this chapter
- Published
- Not stated in source
- Current As Of
- August 2026
Scope: Applicable local CareFirst BlueCross BlueShield medical business, subject to member contract. NASCO/FEP policies may differ. This chapter does not independently establish NCA-specific or GA applicability or maternity guidance for dental and vision products.
Provider Manual Chapter 9 — Policies and Procedures. Verify the payer source before claim submission.
Frequently asked questions
CareFirst BlueCross BlueShield District of Columbia (NCA) payer FAQs
Can I automate CareFirst BlueCross BlueShield District of Columbia (NCA) portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
What is the payer ID for CareFirst BlueCross BlueShield District of Columbia (NCA)?
The primary payer ID for CareFirst BlueCross BlueShield District of Columbia (NCA) is SB580. 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 BlueCross BlueShield District of Columbia (NCA)?
The provider portal for CareFirst BlueCross BlueShield District of Columbia (NCA) is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for CareFirst BlueCross BlueShield District of Columbia (NCA)?
The 837P and 837I payer ID for CareFirst BlueCross BlueShield District of Columbia (NCA) is SB580 via Stedi.
What is the 835 payer ID for CareFirst BlueCross BlueShield District of Columbia (NCA)?
The 835 payer ID for CareFirst BlueCross BlueShield District of Columbia (NCA) is SB580 via Stedi.
What is the 270 payer ID for CareFirst BlueCross BlueShield District of Columbia (NCA)?
The 270 payer IDs for CareFirst BlueCross BlueShield District of Columbia (NCA) are SB580 via Stedi and BCDCC via Availity.
What states does CareFirst BlueCross BlueShield District of Columbia (NCA) operate in?
CareFirst BlueCross BlueShield District of Columbia (NCA) operates in DC and GA.
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.
| Payer name | CareFirst BlueCross BlueShield District of Columbia (NCA)Source: Substrate payer directory · last refreshed |
|---|---|
| Operating states | DC, GASource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | SB580Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | SB580Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | SB580Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | SB580Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | BCDCCSource: Availity payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .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 ID; 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.
Payer contact directory
CareFirst BlueCross BlueShield District of Columbia (NCA) 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.
- Eligibility / benefits phone
- (800) 322-6384DENTI-CAL
- Utilization management fax
(410) 781-7661UTILIZATION MANAGEMENT
| 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 |
| 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 |
|
Phone and fax numbers sourced directly from the payer response