Coverage profile
How Substrate can help you with CareFirst Medicare Advantage
Substrate can help practices and billers with the following claims tasks for CareFirst Medicare Advantage.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with CareFirst Medicare Advantage.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with CareFirst Medicare Advantage.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for CareFirst Medicare Advantage.
Frequently asked questions
CareFirst Medicare Advantage payer FAQs
How do I check claim status with CareFirst Medicare Advantage?
Providers check CareFirst Medicare Advantage via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate CareFirst 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 Medicare Advantage?
The primary payer ID for CareFirst Medicare Advantage is 193. 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 Medicare Advantage?
The provider portal for CareFirst Medicare Advantage is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for CareFirst Medicare Advantage?
The 837P and 837I payer ID for CareFirst Medicare Advantage is 193 via Stedi.
What is the 270 payer ID for CareFirst Medicare Advantage?
The 270 payer ID for CareFirst Medicare Advantage is 193 via Stedi.
What is the 276 payer ID for CareFirst Medicare Advantage?
The 276 payer ID for CareFirst Medicare Advantage is 193 via Stedi.
What states does CareFirst Medicare Advantage operate in?
CareFirst Medicare Advantage operates in DC, MD, SC, and VA.
Routing reference
CareFirst 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 Medicare Advantage |
|---|---|
| Operating states | DC, MD, SC, VA |
| 837P professional claims payer IDStedi | 193 |
| 837I institutional claims payer IDStedi | 193 |
| 270 eligibility payer IDStedi | 193 |
| 276 claim status payer IDStedi | 193 |
Payer contact directory
CareFirst 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.
- Utilization management phone
- (866) 773-2884UTILIZATION MANAGEMENT
- 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 |
| |
| phone(866) 773-2884 | Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| |
| phone(855) 339-8558 | Behavioral healthBenefit context: Active Coverage |
| Mental Health |
| phone(800) 424-8270 | Other stated contextBenefit context: Coverage Basis |
|
Phone and fax numbers sourced directly from the payer response
Other aliases
Also known as
- 193
- CareFirst BlueCross BlueShield