Coverage profile
Work CareFirst Community Health Plan Maryland 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.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with CareFirst Community Health Plan Maryland.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with CareFirst Community Health Plan Maryland.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for CareFirst Community Health Plan Maryland.
Other aliases
Also known as
- 45281
- 45281MA
- 6647
- 6749
- CareFirst Blue Cross Blue Shield Community Health Plan Maryland
- CareFirst BlueCross BlueShield Community Health Plan Maryland
- Riverside Health Maryland
- University of Maryland Health Partners Inc.
- UNIVERSITY OF MARYLAND HEALTH PARTNERS INC
- RIVERSIDE HEALTH OF MARYLAND
- CAREFIRST BCBS COMMUNITY HEALTH PLAN MARYLAND
BlueCard home-plan routing
BCBS prefixes for CareFirst Community Health Plan Maryland
This member ID prefix resolves to CareFirst Community Health Plan Maryland as its terminal payer. Open a prefix to review its home plan, state, payer ID, and published routes.
Member ID prefixes
2027 maternity billing research
When does CareFirst Community Health Plan Maryland change OB/GYN billing?
No public 2027 start date found. The February 2026 CareFirst CHPMD provider manual follows the Maryland HealthChoice maternity workflow and is not a 2027 implementation notice.
- Transition start
- Not published
- Billing start
- Not published
- Published
- Not stated in source
- Current As Of
- September 2026
Scope: exact CareFirst Community Health Plan Maryland Medicaid manual
CareFirst Community Health Plan Maryland Provider Manual. Verify the payer source before claim submission.
Frequently asked questions
CareFirst Community Health Plan Maryland payer FAQs
How do I check claim status with CareFirst Community Health Plan Maryland?
Providers check CareFirst Community Health Plan Maryland via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate CareFirst Community Health Plan Maryland 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 Community Health Plan Maryland?
The primary payer ID for CareFirst Community Health Plan Maryland is 45281. 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 Community Health Plan Maryland?
The provider portal for CareFirst Community Health Plan Maryland is https://provider.carefirst.com/providers/home.page. Available features depend on the payer and your account.
What are the 837 payer IDs for CareFirst Community Health Plan Maryland?
The 837P and 837I payer ID for CareFirst Community Health Plan Maryland is 45281 via Stedi.
What is the 835 payer ID for CareFirst Community Health Plan Maryland?
The 835 payer ID for CareFirst Community Health Plan Maryland is 45281 via Stedi.
What is the 270 payer ID for CareFirst Community Health Plan Maryland?
The 270 payer ID for CareFirst Community Health Plan Maryland is 45281 via Stedi.
What is the 276 payer ID for CareFirst Community Health Plan Maryland?
The 276 payer ID for CareFirst Community Health Plan Maryland is 45281 via Stedi.
What state does CareFirst Community Health Plan Maryland operate in?
CareFirst Community Health Plan Maryland operates in MD.
Routing reference
CareFirst Community Health Plan Maryland 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 Community Health Plan MarylandSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | MDSource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | 45281Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 45281Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 45281Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 45281Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 45281Source: Stedi payer catalog · catalog dated · matched by payer ID |
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 Community Health Plan Maryland. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: CareFirst BlueCross BlueShield Community Health Plan Maryland. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse 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 Community Health Plan Maryland 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) 335-8266DELTA DENTAL OF MO
- 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(866) 606-6021 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(800) 335-8266 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 364-6331 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| 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) 523-4702 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Physician Visit - Office: Well |
| phone(800) 634-4832 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital - Emergency Accident, Hospital - Emergency Medical, Emergency Services |
| phone(800) 676-2583 | Eligibility / benefits, Other stated contextBenefit context: Limitations; Benefit context: Active Coverage; Benefit context: Contact Following Entity for Eligibility or Benefit Information |
| Health Benefit Plan Coverage, Hospital, Hospital, Hospital - Inpatient |
| phone(800) 972-8088 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(844) 714-5678 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(888) 265-7790 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Professional (Physician) Visit - Office |
| phone(888) 335-8296 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(855) 343-4851 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(866) 470-6244 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(866) 773-2884 | Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| |
| phone(877) 284-0102 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(866) 688-2242 | PharmacyBenefit context: Active Coverage |
| Pharmacy |
| phone(855) 339-8558 | Behavioral healthBenefit context: Active Coverage |
| Mental Health |
| phone(866) 322-1657 | Behavioral healthBenefit context: Active Coverage |
| Mental Health |
| phone(800) 244-6224 | Other stated contextBenefit context: Other or Additional Payor |
| |
| phone(800) 275-2583 | Other stated contextBenefit context: Co-Insurance |
| Hospital - Inpatient, Hospital, Physician Visit - Office: Well |
| phone(800) 344-5245 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(800) 424-8270 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(800) 452-8507 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(800) 521-2227 | Other stated contextBenefit context: Other or Additional Payor |
| |
| phone(800) 572-2872 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(800) 638-6756 | Other stated contextBenefit context: Other or Additional Payor |
| |
| phone(800) 869-7093 | Other stated contextBenefit context: Co-Insurance |
| Hospital - Inpatient |
| phone(833) 424-7770 | Other stated contextBenefit context: Co-Payment |
| Hospital |
| 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 and fax numbers sourced directly from the payer response