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CareFirst BlueCross BlueShield Medicare Advantage

CareFirst BCBS Medicare Advantage

The provider portal for CareFirst BlueCross BlueShield Medicare Advantage is https://apps.availity.com/

Primary payer ID
45282Compare transaction IDs ↓
Last successful claim statusWithin the past monthObserved across Substrate's claim-status network.
SupportedEDI 276/277EDI 270/271Browser automation

Is your practice experiencing high volumes of no response claims or denials from CareFirst BlueCross BlueShield Medicare Advantage? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with CareFirst BlueCross BlueShield Medicare Advantage

Substrate can help practices and billers with the following claims tasks for CareFirst BlueCross BlueShield Medicare Advantage.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with CareFirst BlueCross BlueShield Medicare Advantage.

Available

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with CareFirst BlueCross BlueShield Medicare Advantage.

Available

Portal claim status

Browser automation

The Substrate Claim Status Agent can check claim status via the payer portal for CareFirst BlueCross BlueShield Medicare Advantage.

Available

Frequently asked questions

CareFirst BlueCross BlueShield Medicare Advantage payer FAQs

How do I check claim status with CareFirst BlueCross BlueShield Medicare Advantage?

Providers check CareFirst BlueCross BlueShield Medicare Advantage 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 BlueCross BlueShield Medicare Advantage?

The primary payer ID for CareFirst BlueCross BlueShield Medicare Advantage is 45282. 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 Medicare Advantage?

The provider portal for CareFirst BlueCross BlueShield Medicare Advantage is https://apps.availity.com/. Available features depend on the payer and your account.

What are the 837 payer IDs for CareFirst BlueCross BlueShield Medicare Advantage?

The 837P and 837I payer ID for CareFirst BlueCross BlueShield Medicare Advantage is 45282 via Stedi.

What is the 835 payer ID for CareFirst BlueCross BlueShield Medicare Advantage?

The 835 payer ID for CareFirst BlueCross BlueShield Medicare Advantage is 45282 via Stedi.

What is the 270 payer ID for CareFirst BlueCross BlueShield Medicare Advantage?

The 270 payer ID for CareFirst BlueCross BlueShield Medicare Advantage is 45282 via Stedi.

What is the 276 payer ID for CareFirst BlueCross BlueShield Medicare Advantage?

The 276 payer ID for CareFirst BlueCross BlueShield Medicare Advantage is 45282 via Stedi.

What states does CareFirst BlueCross BlueShield Medicare Advantage operate in?

CareFirst BlueCross BlueShield Medicare Advantage operates in DC, MD, and VA.

Routing reference

CareFirst BlueCross BlueShield Medicare Advantage 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 Medicare Advantage payer name, operating states, and transaction-specific payer IDs
Payer nameCareFirst BlueCross BlueShield Medicare Advantage
Operating statesDC, MD, VA
837P professional claims payer IDStedi45282
837I institutional claims payer IDStedi45282
835 ERA payer IDStedi45282Enrollment required
270 eligibility payer IDStedi45282
276 claim status payer IDStedi45282

Payer contact directory

CareFirst BlueCross BlueShield Medicare Advantage 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) 676-2583CAREFIRST BLUECROSS BLUESHIELD
Prior authorization fax
(866) 411-2573ACUTE INPATIENT REHABILITATION ADMISSION PRECERTIFICATION, SKILLED NURSING FACILITY ADMISSION PRECERTIFICATION
CareFirst BlueCross BlueShield Medicare Advantage payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
fax(866) 411-2573Prior authorizationBenefit context: Co-Insurance
  • ACUTE INPATIENT REHABILITATION ADMISSION PRECERTIFICATION
  • SKILLED NURSING FACILITY ADMISSION PRECERTIFICATION
Hospital
fax(866) 411-2585Prior authorizationBenefit context: Co-Insurance
  • ACUTE INPATIENT HOSPITAL ADMISSION PRECERTIFICATION
Hospital
fax(410) 781-7661Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • UTILIZATION MANAGEMENT
fax(833) 453-0101Other stated contextBenefit context: Coverage Basis
  • REACH KIDNEY CARE
fax(866) 606-6021Other stated contextBenefit context: Coverage Basis
  • PA LOGIC SOLUTIONS
fax(866) 713-6516Other stated contextBenefit context: Co-Insurance
  • BCBS ALABAMA
  • BCBS OF ALABAMA
Hospital
fax(888) 656-6671Other stated contextBenefit context: Coverage Basis
  • PRIME THERAPEUTICS
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) 524-0149Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DELTA DENTAL
Dental Care
phone(800) 676-2583Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • BCBSTX
  • CAREFIRST BLUECROSS BLUESHIELD
  • CUSTOMER SERVICE
  • Customer Service
Hospital - Inpatient, Hospital, Hospital - Inpatient, Hospital, Hospital - Inpatient, Physician Visit - Office: Well, Vision (Optometry)
phone(800) 692-2489Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • GHI BEHAVIORAL MANAGEMENT PROGRAM
Mental Health
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) 371-0218Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment
  • CARELONRX
  • UTILIZATION MANAGEMENT
Chiropractic, Pharmacy
phone(833) 848-8730Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CARELONRX
Pharmacy
phone(855) 592-2895Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • BLUE VIEW VISION
Vision (Optometry)
phone(866) 797-9884Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Insurance; Benefit context: Co-Payment
  • CARELONRX
  • UTILIZATION MANAGEMENT
Chiropractic, Chiropractic, Hospital - Inpatient, Hospital - Outpatient, Pharmacy
phone(866) 827-9866Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • BLUE VIEW VISION
Vision (Optometry)
phone(877) 769-7447Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CVS CAREMARK
Pharmacy
phone(888) 334-0870Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MEDI-CAL BHA
Mental Health
phone(888) 352-7924Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • LIBERTY DENTAL
Dental Care
phone(800) 454-3730Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Chiropractic
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(916) 228-4300Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Professional (Physician) Visit - Office
phone(916) 737-5555Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Professional (Physician) Visit - Office
phone(844) 883-8523PharmacyBenefit context: Benefit Description
  • OPTUM RX
Pharmacy
phone(855) 339-8558Behavioral healthBenefit context: Active Coverage
  • LUCET
Mental Health
phone(602) 864-4320Other stated contextBenefit context: Benefit Description
  • BLUE CROSS BLUE SHIELD OF AZ
Hospital - Inpatient, Professional (Physician) Visit - Office, Hospital, Hospital - Outpatient
phone(800) 232-2345Other stated contextBenefit context: Benefit Description
  • BLUE CROSS BLUE SHIELD OF AZ
Hospital - Inpatient, Professional (Physician) Visit - Office, Hospital, Hospital - Outpatient
phone(800) 248-2342Other stated contextBenefit context: Co-Insurance
  • BCBS ALABAMA
  • BCBS OF ALABAMA
Hospital
phone(800) 397-7337Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment
  • Availity Auth and Referrals Page
Chiropractic, Hospital - Inpatient, Hospital - Outpatient, Hospital - Outpatient
phone(800) 424-8270Other stated contextBenefit context: Coverage Basis
  • PRIME THERAPEUTICS
phone(800) 452-8507Other stated contextBenefit context: Active Coverage
  • HIGHMARK MEDICAL MANAGEMENT & POLICY
Hospital
phone(800) 664-2583Other stated contextBenefit context: Active Coverage
  • HORIZON BCBSNJ
Health Benefit Plan Coverage
phone(800) 678-9133Other stated contextBenefit context: Benefit Description
  • ASH - AMERICAN SPECIALTY HEALTH NETWORK
Chiropractic
phone(800) 842-5252Other stated contextBenefit context: Other or Additional Payor
  • UNITED HEALTHCARE
Health Benefit Plan Coverage
phone(800) 972-4226Other stated contextBenefit context: Benefit Description; Benefit context: Co-Payment
  • AMERICAN SPECIALTY HEALTH (ASH)
  • ASH - AMERICAN SPECIALTY HEALTH NETWORK
  • American Specialty Health (ASH)
Chiropractic
phone(833) 447-4397Other stated contextBenefit context: Coverage Basis
  • REACH KIDNEY CARE
phone(855) 798-2627Other stated contextBenefit context: Other or Additional Payor
  • MEDICARE PART A ONLY
phone(866) 205-5107Other stated contextBenefit context: Coverage Basis
  • PA LOGIC SOLUTIONS
phone(866) 803-8002Other stated contextBenefit context: Coverage Basis
  • CARELON MEDICAL BENEFITS MANAGEMENT
  • EVICORE HEALTHCARE
phone(866) 999-3259Other stated contextBenefit context: Benefit Description
  • DAVIS VISION
Vision (Optometry)
phone(877) 370-2845Other stated contextBenefit context: Benefit Description
  • OPTUM HEALTH NETWORK ARIZONA (OHNAZ)
Health Benefit Plan Coverage

Phone and fax numbers sourced directly from the payer response

Other aliases

Also known as

  • 45282
  • 45282MA
  • 7487
  • 9643
  • CareFirst BCBS Medicare Advantage
  • University of Maryland Health Advantage
  • CAREFIRST MEDICARE ADVANTAGE