Time Zone: . A special note for our professional providers located in the northern Virginia Anthem/CareFirst service area: Participation in the Anthem Blue Connection network is based on the physical office location's nine- digit zip code. IDENTIFICATION NUMBER 2. If you are outside of the CareFirst Service area, follow next steps to see if they are a BlueCard PPO/ EPO provider a. Click on BlueCross BlueShield National Doctor and Hospital Finder b. Select the radio button for Name and enter the provider name - Last, First. Medicare Part B, and live in the plan's service area. To locate a provider within your plan's network, you will need to know the name of your plan. County: Baltimore City. drug being prescribed for plaque psoriasis and will it be applied to . Nearby Hospitals. CareFirst MedPlus is the business name of First Care, Inc. Precertification. Find a CareFirst Blue Cross Blue Shield Accepted Dental Practices in Stuart, FL. . CareFirst BlueCross BlueShield Advantage Core (HMO) CareFirst BlueCross BlueShield Advantage Enhanced (HMO) Monthly Premium. ZIP: 21117. . Get Health Insurance plan info on BlueChoice HMO Value Gold $1,000 from CareFirst BlueChoice. Pennsylvania. Most are located in the United States. . Enter the zip code and range in miles. Call 866.333.6002. Title: CareFirst Community - Service Area Map Subject: CareFirst Community - Service Area Map Created Date: 5/15/2019 2:06:40 PM This comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis. Refer to policy for details. Find Providers. CareFirst IDs have plan codes 080/580 and 190/690. BCBS Company. $7,550.00. PATIENT'S DATE OF BIRTH MO DAY YEAR 5. Through this search tool, you can also search for health care facilities, including hospitals, urgent care and labs. A: To narrow our list, CareFirst grouped jurisdictions together based on their location for a total of five regions covering our service area. Health & Wellness Find a Doctor or Health Care Facility Our directory allows you to search by provider last name or type of provider. Service. Options for Care. Country: United States. Country: United States. n245 incomplete/invalid plan information for other insurance 7. subscriber's name (first, middle initial, last) 8.daytime telephone number (include area code) ( ) 9. subscriber's address (street, city, state, zip code) check if new address q 10. is patient covered under other health insurance? Revision . Level 1 Providers = BlueChoice Network $95.00. 0438 total medicare allowed amount invalid-detail 16 claim/service lacks information which is needed for adjudication. The Johns Hopkins Advantage MD (HMO) service area includes the following counties in Maryland: Anne Arundel, Baltimore, Get the free carefirst zip code list form Description of carefirst zip code list Headfirst Service Area Zip Code List The zip codes below are used to determine if the claim should be submitted to Headfirst for processing in accordance with the Federal Employment Program (FEP) After office . At zip code level, there are 65 commercial properties, of . You must live or work in our geographic service area to enroll. The Company offers a comprehensive . Type or print responses. The original 86 that were created in 1947 covered most of the US and Canada, but the numbering system has expanded over the years. Answer: If the claim doesn't appear in the list after searching, here are a few things to try: If your doctor submits your claim, and it has been less than 15 days since the date of service, check My Account again in a few days. Not all plans shown here will be available to you; enter your ZIP Code to see the plans available in your area. This process allows you or your dependents to receive care from out-of-network providers for up to 90 days. State Lookup. The following is a list of incidents within the 80921 and 80132 ZIP codes reported at . Same Day, Open 24 Hours, Accept Delta Delta, All Insurance Accepted, Uninsured Payment Plans, Walk-ins, Mobile Service: Servicing Your Area (888) 244-9997. Out-Of-Pocket Maximum. Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area . You can search for a medical, dental or vision provider by last name or type of provider and within a specified distance. CareFirst Urgent Care is open seven days a week, 363 days a year to provide top-notch care for patients of all ages. q. if yes, name of other insurance company . Same Day, Open 24 Hours, Accept Delta Delta, All Insurance Accepted, Uninsured Payment Plans, Walk-ins, Mobile Service: Servicing Your Area (888) 244-9997. Price & Availability: (855) 344-4048. Enter the language which must be spoken by the provider for which you are searching e.g. CareFirst, Inc., and its affiliated companies, generally referred to as CareFirst BlueCross BlueShield (CareFirst), is the Mid-Atlantic region's largest private sector health insurer, serving the healthcare needs of 3.5 million members in Maryland, the District of Columbia, and portions of northern Virginia. Metro Area: Baltimore-Columbia-Towson. Place of Service 02; Place of Service 11; Place of Service 12; Place of Service 19; Place of Service 21; Place of Service 22; Place of Service 23; . Virginia-based employers of all sizes may offer plans with access to the local HPN, referred to as the Blue Connection network. The national network provides coverage outside of the CareFirst regional service area and is only available to members in 51+ groups with pharmacy benefits. If HCPCS code is on the DME Code list (HCPCS column), allow units to equal 0001 even if to Date of Service is greater than From Date of Service 1/1/2012 402 Total Charges Total Charges must be > zero. state plan name zip code county dc carefirst, inc. - dc 20000 district of columbia dc carefirst, inc. - dc 20001 district of columbia dc carefirst, inc. - dc 20002 district of columbia dc carefirst, inc. - dc 20003 district of columbia dc carefirst, inc. - dc 20004 district of columbia dc carefirst, inc. - dc 20005 district of columbia dc . Some of the main competitors to "Carefirst" in SIC Code 6324 - Hospital and Medical Service Plans and NAICS Code 524114 - Direct Health and Medical Insurance Carriers are the following: . Yes - Emergency Services Only: . They allow callers to make long distance calls to any other calling area . Capacity: 92 assisted living units. Metro Area: York-Hanover. Certain nonemergency hospital and other medical services require preapproval from CareFirst. CMS develops fee schedules for physicians, ambulance services, clinical laboratory services, and durable medical . By Payer Id, every provider and insurance company or payer systems connect electronically with each other. . PEAKS, A SENIOR LIVING COMMUNITY is a senior living community in FLAGSTAFF, AZ in the 86001 zip code area that provides assisted living to a total of 92 senior citizens in COCONINO County. However, many are in Canada, the Caribbean, and the Pacific. Click to learn more. and zip codes on our site: City-data.com. Answer: If the claim doesn't appear in the list after searching, here are a few things to try: If your doctor submits your claim, and it has been less than 15 days since the date of service, check My Account again in a few days. Your ZIP Code allows us to filter for Medicare plans in your area. no q yes q if yes, name of other insurance company name of policy holder policy or identification number BCBS Plan Name. Check-in. 8772287268 Mail Administrator P.O. Book an Appointment 24/7. Some of the main competitors to "Carefirst Inc" in SIC Code 6411 - Insurance Agents, Brokers and Service and NAICS Code 524210 - Insurance Agencies and Brokerages are the following: . Order a list of companies within SIC Code 6411 - Insurance Agents, Brokers and Service and NAICS Code 524210 - Insurance Agencies and Brokerages for marketing (postal mailing . Carefirst Blue-Cross Blue-Shield: AAS: Indiana: Anthem Blue-Cross Blue-Shield of Indiana: AAT: California: Anthem Blue-Cross: AAU: Ohio: Anthem Blue-Cross Blue-Shield of . Improvement in PCMH panel engagement and cost savings continued, with 68% of panels earning outcome incentive awards for performance year 2019. Enter Zip Code and Distance and click Search 4. Box 2970 County. Find a CareFirst Blue Cross Blue Shield Accepted Dental Practices in Arlington, IL. 1/1/2012 181 Total Claim Charges Total Charges must be numeric and Balance to BILLED LINE CHARGES. q . Updated Cross References to Related Policies and Procedures section. CareFirst Blue Cross and Blue Shield and Anne Arundel Medical Group have reached an agreement to maintain coverage for services following an almost two month long negotiation period. UVA/Charlottesville is out of the Carefirst service area. no . ; If it has been at least 15 days since the date of service, contact your doctor's office to make sure they submitted the claim. Box 105187 Atlanta, GA 30348 -5187 Hawaii HMSA-- BlueCard Department P.O. In Virginia, Blue HPN networks are in place in the Richmond and the Washington, D.C-Arlington-Alexandria metro areas. With the ease and convenience of CareFirst BlueCross BlueShield Advantage DualPrime's all-inclusive health coverage, you can spend more time doing what makes you happy. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield, and its affiliate HealthKeepers, Inc. trades as Anthem HealthKeepers providing HMO coverage, and their service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. Payer Id. ; If it has been at least 15 days since the date of service, contact your doctor's office to make sure they submitted the claim. E.g. The National Account Service Company (NASCO) All prefixes are unique. 16 claim/service lacks information which is needed for adjudication. CareFirst, Inc., and its affiliated companies, generally referred to as CareFirst BlueCross BlueShield (CareFirst), is the Mid-Atlantic region's largest private sector health insurer, serving the healthcare needs of 3.5 million members in Maryland, the District of Columbia, and portions of northern Virginia. Independence Blue-Cross of Philadelphia and Southeastern Pennsylvania. Learn more about plan monthly cost,premimum deductibles,prescription drug coverage, hospital services, accepted doctors and more. Place of Service Codes. 1-800-553-8700 . Metro Area: Baltimore-Columbia-Towson. Enroll Now. BCBS Prefix. Ancillary Claims: Use the CareFirst Service Area Zip Code List . Baltimore, MD 21206. 7. subscriber's name (first, middle initial, last) 8.daytime telephone number (include area code) ( ) 9. subscriber's address (street, city, state, zip code) check if new address 10. is patient covered under other health insurance? If you have further questions, please call for asistance at (202) 821-1145. Servicing Your Area (888) 244 . no yes if yes, name of other insurance company name of policy holder q . Since its inception in 2011, the PCMH program has resulted in a net cost savings of $1.3B. Showing 1-10 of 100 articles. Use the following ICD-10 reporting codes for billing COVID-19 treatment: Treatment of coronavirus- use code U07.1 as primary diagnosis code CareFirst, Inc. and its operating affiliates, CareFirst of Maryland, Inc.; CareFirst BlueChoice; and Group Hospitalization and Medical Services, Inc. are independent licensees of the Blue Cross Blue Shield Association. 0.9 mi away (888) 244-9997 . Provider To confirm the specific name of your plan, please check your member ID card. Compare & Research Doctors and Hospitals. Outofarea coverage (BlueCard) CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst of . $35.00. View the list of networks in which the provider participates EPO = CareFirst Regional Provider Directory 5. Service Area Map. The 34 independent and locally operated Blue Cross Blue Shield companies deliver health insurance coverage to one in three Americans across all 50 states, the District of Columbia and Puerto Rico. *THIS FORM CAN ALSO BE USED FOR FILING CLAIMS FOR CAREFIRST BLUECHOICE OPT-OUT PLUS 1. Area Code: 717. CareFirst Direct (Providers located in the CareFirst service area only.) Carefirst BCBS P.O. December 4, 2021. Description of carefirst zip code list Headfirst Service Area Zip Code List The zip codes below are used to determine if the claim should be submitted to Headfirst for processing in accordance with the Federal Employment Program (FEP) Fill & Sign Online, Print, Email, Fax, or Download Get Form 13162. Choose All Plans, then Medical from the drop down list. View list of Providers and Medical Professionals - The directory displays information about the healthcare providers that are part of the network for this plan, and nearest to you in the plans service area which includes your zip code. CareFirst BlueCross BlueShield Washington D.C. P.O. You can enroll over the phone, online or meet with a licensed sales agent today by calling: 1-844-331-6334 (TTY: 711) 8 AM - 8 PM EST, 7 days a week from October 1 - March 31. You can compare Medicare Advantage plans' cost and coverageincluding supplemental benefitsby entering your ZIP code and clicking the Browse Plans button on this page. 1st Medical Network - Atlanta GA. Go to www.carefirst.com. Service: General Office: 08/01/2013-07/31/2023: Unlock on CommercialEdge . 1/1/2012 City-Data Forum Message Cancel Changes: Quick Reply The following errors occurred with your submission: Okay: Message: Previous . Ohio BWC. Effective 05/01/20 : 2.01.025 . BlueCross BlueShield Washington D.C. P.O. Featured Articles. The list above includes all area codes. ZIP: 21117. A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers. Serving: Maryland, the Northern Virginia area and Washington, DC Enrollment in this Plan is limited. Viewing and printing this document requires Adobe Acrobat Reader, which can be downloaded free from the Adobe site. These regions include Central Maryland, Eastern Shore Maryland, National Capital Area, Southern Maryland, and Western Maryland. Box 14113 Lexington, KY 40512-4113. 1/1/2012 181 Total Claim Charges Total Charges must be numeric and Balance to BILLED LINE CHARGES. Answer: If the claim doesn't appear in the list after searching, here are a few things to try: If your doctor submits your claim, and it has been less than 15 days since the date of service, check My Account again in a few days. Does this plan cover services outside plan service area? . PATIENT'S RELATIONSHIP TO SUBSCRIBER: EE SP CH SELF q SPOUSE Then choose a specialty. Pay my bill. The Company offers a comprehensive . GROUP NUMBER OR ENROLLMENT CODE 3.

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