CareFirst BlueCross BlueShield District of Columbia (NCA) Payer ID SB580 — EDI, Portal & Claim Status

Coverage profile

How Substrate can help you with CareFirst BlueCross BlueShield District of Columbia (NCA)

Substrate can help practices and billers with the following claims tasks for CareFirst BlueCross BlueShield District of Columbia (NCA).

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).

Available

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.

CareFirst BlueCross BlueShield District of Columbia (NCA) payer name, operating states, and transaction-specific payer IDs
Payer name	CareFirst BlueCross BlueShield District of Columbia (NCA)
Operating states	DC, GA
837P professional claims payer IDStedi	`SB580`
837I institutional claims payer IDStedi	`SB580`
835 ERA payer IDStedi	`SB580`Enrollment required
270 eligibility payer IDStedi	`SB580`
270 eligibility payer IDAvaility	`BCDCC`

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

CareFirst BlueCross BlueShield District of Columbia (NCA) payer phone and fax directory
Channel and number	Payer Notes	Department	Specialties
fax`(410) 781-7661`	Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information	UTILIZATION MANAGEMENT
fax`(800) 348-3804`	Other stated contextBenefit context: Co-Insurance	BCBS OF MISSISSIPPI	Hospital
phone(800) 322-6384	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	DENTI-CAL	Dental Care
phone(800) 335-8289	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	DELTA DENTAL OF VA	Dental Care
phone(800) 441-9188	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	Customer Service	Hospital, Hospital - Inpatient
phone(800) 451-0287	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CUSTOMER SERVICE	Hospital, Hospital - Inpatient
phone(800) 524-0149	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	DELTA DENTAL OF OHIO	Dental Care
phone(800) 676-2583	Eligibility / 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) 877-7195	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	VSP	Vision (Optometry)
phone(800) 972-8088	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CUSTOMER SERVICE	Hospital, Hospital - Inpatient
phone(800) 977-2273	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	MAGELLAN	Pharmacy
phone(833) 812-1800	Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment	CARELONRX UTILIZATION MANAGEMENT	Chiropractic, Pharmacy
phone(844) 684-2255	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	EYEMED	Vision (Optometry)
phone(855) 592-2895	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	BLUE VIEW VISION	Vision (Optometry)
phone(855) 811-2218	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	OPTUMRX	Pharmacy
phone(877) 799-5783	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	ESI	Pharmacy
phone(888) 334-0870	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	MEDI-CAL BHA	Mental Health
phone(800) 274-7767	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Hospital
phone(800) 832-7850	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Hospital
phone(844) 889-2273	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Professional (Physician) Visit - Office
phone(855) 343-4851	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Hospital
phone(866) 470-6244	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Hospital
phone(866) 773-2884	Other 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) 867-7610	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Hospital
phone(866) 688-2242	PharmacyBenefit context: Active Coverage	PRIME THERAPEUTICS	Pharmacy
phone(866) 322-1657	Behavioral healthBenefit context: Active Coverage	BEHAVIORAL HEALTH MANAGER	Mental Health
phone(800) 344-5245	Other stated contextBenefit context: Active Coverage	HIGHMARK WV MEDICAL MANAGEMENT & POLICY	Hospital
phone(800) 452-8507	Other stated contextBenefit context: Active - Pending Investigation; Benefit context: Active Coverage	HIGHMARK MEDICAL MANAGEMENT & POLICY	Hospital
phone(800) 572-2872	Other stated contextBenefit context: Active Coverage	BCBSDE MANAGED CARE	Hospital
phone(800) 827-4814	Other stated contextBenefit context: Limitations	SKAI BLUE CROSS AND BLUE SHIELD	Hospital - Inpatient
phone(800) 841-9659	Other stated contextBenefit context: Co-Insurance	BCBS OF MISSISSIPPI	Hospital
phone(800) 920-2485	Other stated contextBenefit context: Active Coverage	EXCELLUS BLUE CROSS BLUE SHIELD	Health Benefit Plan Coverage
phone(833) 592-9956	Other stated contextBenefit context: Co-Insurance	ANTHEM BLUE CROSS AND BLUE SHIELD	Hospital
phone(844) 241-7087	Other stated contextBenefit context: Co-Insurance	ANTHEM BLUE CROSS AND BLUE SHIELD	Chiropractic
phone(855) 798-2627	Other stated contextBenefit context: Other or Additional Payor	MEDICARE PART A ONLY

Phone and fax numbers sourced directly from the payer response

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