With a provider network this comprehensive — more than 1 million physicians as well as provider facilities, hospitals and other care centers — most of your care needs are covered in-network, which means savings for you. The aforementioned legal entities, CareFirst BlueChoice, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. Provider Login; With CareFirst Video Visit, see a doctor 24/7/365. Care1st Health Plan Arizona is dedicated to being a provider-oriented managed care organization that strives to provide the quality of services given to its members. Live-agent chat is the easiest and fastest way to get real-time support for an array of topics, including: Member Eligibility. CareFirst Community Health Plan Maryland (CareFirst CHPMD) works with our network of over 7,000 physicians and health care providers to deliver the best quality care to our members. Because a healthier community is good for us all. Home. Find a Doctor Our online provider directory will help you find a doctor or medical facility that meets your needs. Provider Portal Login. Care1st Health Plan Arizona is dedicated to being a provider-oriented managed care organization that strives to provide the quality of services given to its members. Our support team is available to help you find the mental health provider for your individual needs and schedule an appointment in a timely fashion. We believe that all health care is delivered locally and supporting . Taking the first step to address your mental health concerns can be difficult. Providers Homepage. Summer 2020 Provider Newsletter. CareFirst | My Account | Member Login CareFirst does not direct the action of participating providers or provide medical advice. By funding innovative programs that address inequalities and improve healthcare, we're helping to make a difference. We encourage you to take advantage of this easy-to-use feature. LifeBridge Health | CareFirst BlueCross BlueShield PROVIDER CONNECTION - CareFirst CHPDC In Virginia, CareFirst MedPlus and CareFirst Diversified Benefits are is the business names of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). CareFirst BlueCross BlueShield | Sodexo Nestle | CareFirst BlueCross BlueShield User ID: Password: Remember me? Medical Injection Preauthorization Request Form. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. Using in-network physicians, who participate in the BlueChoice network, will offer greater cost savings. Outside the United States. Use our directory to see if your doctors are part of our network. The aforementioned legal entities, CareFirst BlueChoice, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. You can even print your chat history to reference later! Our Service Area Individuals interested in purchasing insurance. Data that is the same for multiple providers (e.g., clinic name, address and phone number) can now be entered once, rather than having to be entered repeatedly. Claims adjustments. MyHealth Portal - CareFirst Medicare Advantage A new patient-centric, virtual-first primary care practice. Please call our Member Services Department at 410-779-9932 or toll-free at 1-844-386-6762 (TTY users call 711) to confirm enrollment status. Consistently ranked in the industry . CareFirst BlueCross BlueShield offers our members the largest network of doctors and providers in Maryland, D.C. and North Virginia. CareFirst members will pay $0 for any authorized COVID-19 vaccine. CareFirst, CFA and BCBSA. Work with CareFirst Administrators (CFA) Our Relationship with Providers. Find a Dental or Vision Provider - CareFirst CHPDC In Virginia, CareFirst MedPlus and CareFirst Diversified Benefits are is the business names of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). Providers will be reimbursed by CareFirst for administration of a vaccine. By funding innovative programs that address inequalities and improve healthcare, we're helping to make a difference. Information for Providers. Find a Provider & Resources. You can search for a medical, dental or vision provider by last name or type of provider and within a specified distance. Care that keeps you well. 800-544-8703. Learn More. Your search should be for the ZIP code or city and state where your provider is located. Contact Us. CareFirst Administrators (CFA) is the only third-party administrator in Maryland, D.C. and Northern Virginia providing flexibility and superior service, through the most trusted name in healthcare—locally through CareFirst BlueCross BlueShield, and nationally through the Blue Cross Blue Shield Association. Newsletters. Selecting an out-of-network physician (PPO network) increases your costs but gives you greater flexibility to choose any physician to provide the care you are seeking. Finding the right provider for you is important - not all providers are the same. The vaccine is paid for by the federal government. For Medicare Advantage HMO and Medicare Supplement call 833-987-0765 (TTY: 711). Member Login Please note that by registering and using . Work with CareFirst Administrators (CFA) Our Relationship with Providers. **. Use of this portal does not confirm that you are actively enrolled in CareFirst Medicare Advantage. We're unable to complete your request at this time. CareFirst Administrators (CFA) is the only third-party administrator in Maryland, D.C. and Northern Virginia providing flexibility and superior service, through the most trusted name in healthcare—locally through CareFirst BlueCross BlueShield, and nationally through the Blue Cross Blue Shield Association. Group Vision Insurance. From October 18-22, 2021, CareFirst hosted its 2nd Annual Week of Equity & Action, which serves as an opportunity for our employees to listen, learn and act—giving employees the tools to cultivate empathy and understanding of each other in the workplace and the community. We have a Patients First philosophy of care. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the business name of CareFirst Advantage, Inc. CareFirst BlueCross BlueShield Community Health Plan District of Columbia is the . Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. in October 2016, the company behind Care1st and ONECare was acquired by WellCare Health Plans Inc. As a result, we will be transitioning to a new Provider Portal beginning with 2019 ONECare plans. Please enter your phone number with area code. Patient Claims, Eligibility and Benefits. Need Help Logging In. Reset Password Forgot User ID. Nurse Advice Line. Email Address: Password: Login Cancel. It started with the idea of connecting Maryland beneficiaries with a large local network of physicians and providers - all in an effort to combine Medicare coverage with added benefits and services, and better care overall. Provider Login. It is a not-for-profit organization that is a catalyst for industry collaboration on initiatives that simplify healthcare administration. CareFirst BlueCross BlueShield Week of Equity & Action 2021. CareFirst members will pay $0 for any authorized COVID-19 vaccine. Our Service Area CareFirst BlueCross BlueShield Advantage DualPrime was created with your needs in mind. Serving Maryland, CareFirst BlueCross BlueShield Community Health Plan Maryland is the business name of CareFirst Community Partners, Inc. an independent licensee of the Blue Cross and Blue Shield Association. We believe that the doctor-patient relationship is critical to good patient care. CareFirst is committed to quality healthcare for everyone in our community. CareFirst is committed to quality healthcare for everyone in our community. CareFirst BlueCross BlueShield Family of Health Care Plans > Portal Login. iCentric Benefits Summary, CareFirst Direct Eligibility/Benefits and Claims Status will be unavailable Sun, 12/12 from 12AM to 12PM for Out of Area, NASCO and FEP members. Medical Policies and Procedures. Create an Account. Authorizations. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc. and First Care, Inc. are affiliate companies and also offer health benefit products and services on this site. With a provider network this comprehensive — more than 1 million physicians as well as provider facilities, hospitals and other care centers — most of your care needs are covered in-network, which means savings for you. Provider Alert - CareFirst / UMMS Partnership and Acquisition. Summer/Fall 2021 Provider Newsletter. Providers should not submit claims for the cost of the vaccine. Compassionate care for over 100 conditions through an easy-to-use app. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. If you can't locate your provider or need assistance with the search tool, call Customer Service at 833-502-9928, then press 1 (available Monday-Friday from 8 a.m. to 8 p.m. Care1st offers online member eligibility inquiry, claims inquiry, remittance advice view and print capability as well as a provider search function. Good dental care is an important part of an employees' overall health. NovaNet is an independent company offering access to a dental provider network and services to CareFirst members. For Dual Eligible (HMO-SNP) call 844-331-6334 (TTY: 711) CareFirst CHPDC is the Washington DC provider of Medicaid and Alliance Benefits. Care1st Member Services is here for you! Effective for dates of service on and after June 8, 2021, CareFirst is increasing fees . Compassionate care for over 100 conditions through an easy-to-use app. Welcome to Our Family of Health Care Providers. In Virginia, CareFirst MedPlus and CareFirst Diversified Benefits are is the business names of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). 855-300-7751. Home. Learn about CareFirst's work in our communities. CareFirst members will pay $0 for any authorized COVID-19 vaccine. Please enter a valid name. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. Care1st Health Plan Arizona is dedicated to being a provider-oriented managed care organization that strives to provide the quality of services given to its members. Login. Our large, national dental network means nearly nine out of 10 members already use in-network providers, which helps you and your employees lower costs. If you are having difficulties registering please . CareFirst BlueCross BlueShield Advantage DualPrime was created with your needs in mind. Alerts. CareFirst BlueCross BlueShield Community Health Plan District of Columbia is an independent licensee of the Blue Cross and Blue Shield Association. For Providers. Whether you need care here in the United States or abroad, you'll have access to health care in more than 190 countries. UnitedHealthcare's home for Care Provider information with 24/7 access to UnitedHealthcare Provider Portal (formerly Link self-service tools), medical policies, news bulletins, and great resources to support administrative tasks including eligibility, claims and prior authorizations. CareFirst, CFA and BCBSA. Escalations. Providers who wish to administer a vaccine should contact their state's health department for requirements and information on how to register. Medical Policies and Procedures. The aforementioned legal entities, CareFirst BlueChoice, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. It started with the idea of connecting Maryland beneficiaries with a large local network of physicians and providers - all in an effort to combine Medicare coverage with added benefits and services, and better care overall. A Managed Care Organization committed to providing preventative services and support to its medicaid and alliance enrollees It is only by partnering with providers, such as yourself, that we can truly achieve those goals. Practice Contact Information Form. Provider Login We're transitioning to WellCare Health Plans! Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the business name of CareFirst Advantage, Inc. CareFirst BlueCross BlueShield Community Health Plan District of Columbia is the . If you are a registered user, please click on the "Provider Login" link below. Your name. In Virginia, CareFirst MedPlus and CareFirst Diversified Benefits are is the business names of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). CareFirst does not direct the action of participating providers or provide medical advice. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. Patient Claims, Eligibility and Benefits. The vaccine is paid for by the federal government. Find a Doctor or Health Care Facility. Because a healthier community is good for us all. Provider Alert - COVID-19 Testing. Through this search tool, you can also search for health care facilities, including hospitals, urgent care and labs. CAQH stands for Council for Affordable Quality Healthcare. Providers will be reimbursed by CareFirst for administration of a vaccine. Care that's affordable. Blue Shield of California Promise Health Plan complies with applicable state laws and federal civil rights laws, and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status . Provider Login We're transitioning to WellCare Health Plans! We have a Patients First philosophy of care. Please remember that one or more of the plans with which you already participate has requested that we invite you to use the CAQH ProView TM to submit your application data. To become a registered user, complete the registration process below. Providers will be reimbursed by CareFirst for administration of a vaccine. If you see your provider listed, that provider is covered by the Nestlé plan. Please be sure to reach out at (800) 817-1196 [TTY 711] to schedule an appointment. Call Enrollee Services (202) 821-1100. A Managed Care Organization committed to providing preventative services and support to its medicaid and alliance enrollees Learn about CareFirst's work in our communities. 24/7 support for all your healthcare and benefit needs. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. CareFirst Administrators (CFA) is the only third-party administrator in Maryland, D.C. and Northern Virginia providing flexibility and superior service, through the most trusted name in healthcare—locally through CareFirst BlueCross BlueShield, and nationally through the Blue Cross Blue Shield Association. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc. and First Care, Inc. are affiliate companies and also offer health benefit products and services on this site. 833-960-4025. Give us a call at (602) 778-1800 or (866) 560-4042 TTY: 711. In the United States, Puerto Rico and U.S. Virgin Islands. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. 24/7/365. The aforementioned legal entities, CareFirst BlueChoice, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. Providers should not submit claims for the cost of the vaccine. ET). Providers Homepage. For vaccine billing guidance and updates, visit the Billing . Provider/Customer Service: 410-779-9359 or 800-730-8543. Blue Value Plus Option: This plan is an in-network only HMO plan. Read More The Formulary, pharmacy network, and/or provider network may change at any time. Provider Login. CareFirst Administrators (CFA) is the only third-party administrator in Maryland, D.C. and Northern Virginia providing flexibility and superior service, through the most trusted name in healthcare—locally through CareFirst BlueCross BlueShield, and nationally through the Blue Cross Blue Shield Association. Disclaimer: Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc. and First Care, Inc. are affiliate companies and also offer health benefit products and services on this site. Choose date. Access the Provider Portal to: View patient's eligibility status and benefit information Or, call the State's Eligibility Verification System (EVS) at 866-710-1447. Portal access may take up to 5-7 business days. Call the Nurse Advice Line to talk to a nurse when you are feeling well. BLUE CROSS®, BLUE SHIELD® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. With 94,000 nationwide access points-including online retailers glasses.com and 1-800 contacts, private practices and major retailers-plus hundreds of brand name frames and contact lenses to choose from, it's easy to see why 97% of members are satisfied with CareFirst Vision. 24/7/365. At CareFirst CHPDC, we stand by our providers in offering exceptional health care to DC locals and their families. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc. and First Care, Inc. are affiliate companies and also offer health benefit products and services on this site. in October 2016, the company behind Care1st and ONECare was acquired by WellCare Health Plans Inc. As a result, we will be transitioning to a new Provider Portal beginning with 2019 ONECare plans. CareFirst (CHPDC) Community Health Plan District of Columbia. CloseKnit's care teams offer preventive and urgent care, behavioral and mental health, chronic condition prevention, medication management and more. Care that keeps you well. Effective for dates of service on and after June 8, 2021, CareFirst is increasing fees . Consumer Direct Sales Phone Numbers (Monday-Friday, 8 a.m. to 6 p.m. and Saturday, 8 a.m. to noon) Consumer Direct Sales Phone Numbers (Monday-Friday, 8 a.m. to 6 p.m. and Saturday, 8 a.m. to noon) Current members with renewal questions. Information for Providers. CareFirst CHPDC has identified an efficient process for credentialing/ re-credentialing practitioners through CAQH. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc. and First Care, Inc. are affiliate companies and also offer health benefit products and services on this site. Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists:. Urgent Care Video Visits are available 24/7/365, and you also have the option to schedule visits with . Whether you need care here in the United States or abroad, you'll have access to health care in more than 190 countries. Frequently Asked Questions. Send an Email Contact Info. 3 Out of 14 participants ranked in the Dental Actuarial Analytics, LLC 2018 Dental PPO Network Study (formerly Ruark Consulting LLC, Dental PPO Network Study). BLUE CROSS®, BLUE SHIELD® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. A new patient-centric, virtual-first primary care practice. Address 1100 New Jersey Ave, SE Suite 840 Washington, DC 20003 phone . CareFirst BlueCross BlueShield Community Health Plan District of Columbia is an independent licensee of the Blue Cross and Blue Shield Association. If you need general information related to applying for Medicaid benefits, call 800-492-5231 or click here. Frequently Asked Questions. Provider Login Area. A Blue Shield sales agent will be in touch soon. Our Licensed Sales Agents are here to help. Care that's affordable. CareFirst BlueCross BlueShield (CareFirst) Video Visit allows you to securely connect with a doctor whenever and wherever you want on your smartphone, tablet or computer. CloseKnit's care teams offer preventive and urgent care, behavioral and mental health, chronic condition prevention, medication management and more. Your phone number. Learn More. If you have other questions related to your patients' enrollment in CareFirst Community Health Plan Maryland (CareFirst CHPMD), please call us at 1-410-779 . You will receive notice when necessary. CareFirst CHPDC is the Washington DC provider of Medicaid and Alliance Benefits. We have a Patients First philosophy of care. CareFirst provides your employees the benefits of reduced out-of-pocket costs, free frames, and . Our team can answer questions about your benefits, help you find a doctor, and make sure you get the service you need.