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 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with CareFirst BlueCross BlueShield Medicare Advantage.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with CareFirst BlueCross BlueShield Medicare Advantage.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for CareFirst BlueCross BlueShield Medicare Advantage.
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.
Can I automate CareFirst BlueCross BlueShield Medicare Advantage 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 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.
| Payer name | CareFirst BlueCross BlueShield Medicare Advantage |
|---|---|
| Operating states | DC, MD, VA |
| 837P professional claims payer IDStedi | 45282 |
| 837I institutional claims payer IDStedi | 45282 |
| 835 ERA payer IDStedi | 45282Enrollment required |
| 270 eligibility payer IDStedi | 45282 |
| 276 claim status payer IDStedi | 45282 |
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
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
fax(866) 411-2573 | Prior authorizationBenefit context: Co-Insurance |
| Hospital |
fax(866) 411-2585 | Prior authorizationBenefit context: Co-Insurance |
| Hospital |
fax(410) 781-7661 | Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| |
fax(833) 453-0101 | Other stated contextBenefit context: Coverage Basis |
| |
fax(866) 606-6021 | Other stated contextBenefit context: Coverage Basis |
| |
fax(866) 713-6516 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
fax(888) 656-6671 | Other stated contextBenefit context: Coverage Basis |
| |
| 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) 524-0149 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 676-2583 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital - Inpatient, Hospital, Hospital - Inpatient, Hospital, Hospital - Inpatient, Physician Visit - Office: Well, Vision (Optometry) |
| phone(800) 692-2489 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Mental Health |
| 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) 371-0218 | Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment |
| Chiropractic, Pharmacy |
| phone(833) 848-8730 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(855) 592-2895 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(866) 797-9884 | Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Insurance; Benefit context: Co-Payment |
| Chiropractic, Chiropractic, Hospital - Inpatient, Hospital - Outpatient, Pharmacy |
| phone(866) 827-9866 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(877) 769-7447 | 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(888) 352-7924 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 454-3730 | Utilization managementBenefit context: Co-Insurance |
| Chiropractic |
| 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(916) 228-4300 | Utilization managementBenefit context: Co-Insurance |
| Professional (Physician) Visit - Office |
| phone(916) 737-5555 | Utilization managementBenefit context: Co-Insurance |
| Professional (Physician) Visit - Office |
| phone(844) 883-8523 | PharmacyBenefit context: Benefit Description |
| Pharmacy |
| phone(855) 339-8558 | Behavioral healthBenefit context: Active Coverage |
| Mental Health |
| phone(602) 864-4320 | Other stated contextBenefit context: Benefit Description |
| Hospital - Inpatient, Professional (Physician) Visit - Office, Hospital, Hospital - Outpatient |
| phone(800) 232-2345 | Other stated contextBenefit context: Benefit Description |
| Hospital - Inpatient, Professional (Physician) Visit - Office, Hospital, Hospital - Outpatient |
| phone(800) 248-2342 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(800) 397-7337 | Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment |
| Chiropractic, Hospital - Inpatient, Hospital - Outpatient, Hospital - Outpatient |
| phone(800) 424-8270 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(800) 452-8507 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(800) 664-2583 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(800) 678-9133 | Other stated contextBenefit context: Benefit Description |
| Chiropractic |
| phone(800) 842-5252 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(800) 972-4226 | Other stated contextBenefit context: Benefit Description; Benefit context: Co-Payment |
| Chiropractic |
| phone(833) 447-4397 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(855) 798-2627 | Other stated contextBenefit context: Other or Additional Payor |
| |
| phone(866) 205-5107 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(866) 803-8002 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(866) 999-3259 | Other stated contextBenefit context: Benefit Description |
| Vision (Optometry) |
| phone(877) 370-2845 | Other stated contextBenefit context: Benefit Description |
| 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
