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Beacon Health Options began managing Medicare Advantage Behavioral Health services for CareFirst BlueCross BlueShield Medicare Advantage Dual Prime members on January 1, 2016. We invite you to join us for an orientation webinar that will review key elements of the CareFirst BlueCross BlueShield Medicare Advantage Dual Prime relationship, our company and available resources. Please note this
webinar is offered multiple times, so once you click a date below, be sure to select the same date from the drop down box to register for that session.
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CareFirst®' BlueCross® BlueShield®CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc., which do business as CareFirst BlueCross BlueShield (CareFirst), are wholly owned subsidiaries of CareFirst, Inc., a not-for-profit holding company licensed in Maryland. A third affiliate does business as Blue Cross Blue Shield of Delaware. The affiliates are independently licensed by the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans, to market health insurance and related services and products throughout the Mid-Atlantic Region, including Maryland, Washington, D.C., Delaware and Northern Virginia. Through its affiliates and subsidiaries, CareFirst, the largest health insurer in the Mid-Atlantic region, serves 3.3 million members. CareFirst and its parent company have more than 6,000 employees operating in Maryland, North Carolina, Northern Virginia, West Virginia, Delaware and the District of Columbia. CareFirst has received seven consecutive National Brand Excellence awards from the Blue Cross and Blue Shield Association, recognizing its customer service, financial strength, membership growth and promotion of the Blue name. CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield and Blue Cross Blue Shield of Delaware are independent licensees of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross and Blue Shield Association. ® Registered trademark of CareFirst of Maryland, Inc. Who to Call:Medical and Hospital Services
Where to Write:Member Services Where to Send Premium Billing Forms:Electronic Fund Transfer (EFT) Forms: Social Security Administration/Railroad Where to Submit Claims:Medical and Hospital Claims Providers can obtain additional information about submitting claims through Change Healthcare by calling 866-506-2830 or visiting the website at http://www.changehealthcare.com. Any paper claims should be submitted to:
CareFirst BlueCross BlueShield Medicare Advantage Members: Please submit your claims for reimbursement to: CareFirst BlueCross BlueShield Medicare Advantage Behavioral Health Claims Part D Drug Claims Where to Submit Appeals and GrievancesGrievances: Grievances for Medical Care: CALL: 410-779-9932 or toll-free 1-844-386-6762 (TTY users: 711) 8 AM to 8 PM, 7 days a week from
October 1 to March 31. Voice mail is available after business hours to leave messages FAX: 1-844-405-2158 WRITE: CareFirst BlueCross BlueShield Medicare Advantage Grievances for Part D Prescription Drugs: CALL: 1-844-786-6762 (TTY users: 711) FAX: 1-855-633-7673 WRITE: Grievance Department Appeals: Important Note: Requests for “Expedited” or “Fast” Appeals may be made verbally; however, all Standard Appeals must be made in writing. Appeals for Medical Care: CALL: 410-779-9932 or toll-free 1-844-386-6762 (TTY users: 711) 8 AM to 8 PM, 7 days a week from October 1 to March 31 FAX: 1-844-405-2158 WRITE: CareFirst BlueCross BlueShield Medicare Advantage Appeals for Part D Prescription Drugs: CALL: 1-844-786-6762 (TTY users: 711) FAX: 1-855-633-7673 WRITE: CVS Caremark Coverage Determinations/Exceptions Is CareFirst BlueChoice the same as Blue Cross Blue Shield?of Maryland), CareFirst BlueChoice, Inc., and The Dental Network, Inc., are independent licensees of the Blue Cross and Blue Shield Association.
What is the customer service number for Blue Cross Blue Shield?1 (888) 630-2583Blue Cross Blue Shield Association / Customer servicenull
Is CareFirst Blue Cross or Blue Shield?Getting Care
Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc.
Is CareFirst only in Maryland?CareFirst BlueCross BlueShield has served the Mid-Atlantic region as a not-for-profit health plan for generations. And we're still committed to improving the health and lives of our 3.5 million members across Maryland, Washington, D.C. and Northern Virginia.
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