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.Trainings & Webinars
Contact Information
(claims, authorizations, referrals)
888.397.3887, available 8 a.m. through 8 p.m. ET, Monday through Friday
(credentialing and contracting)
800.397.1630, available 8 a.m. through 8 p.m. ET, Monday through Friday
(ProviderConnect technical questions)
888.247.9311, available 8 a.m. through 6 p.m. ET,
Monday through Friday
“More than 4,500 employees nationally, serving more than 40 million people.”
“Over 260 clients, including employers, Fortune 500 companies, health plans, and state and local governments.”
Copyright © 2022 Beacon Health Options. All rights reserved.
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
- Part C Member Services and Prior Authorizations:
410-779-9932 or toll-free at 1-844-386-6762; TTY: 711
October 1 - March 31 | 8 am - 8 pm EST | 7 days a week
April 1 - September 30 | 8 am - 8 pm EST | Monday – Friday
- Behavioral Health (Beacon Health Services):
1-844-470-6334; TTY: 711
24 hours a day, 7 days a week
- Vision (Superior Vision):
1-844-475-6334; TTY: 711
8am-8pm EST, Monday through Friday
- Dental (DentaQuest):
1-844-474-6334; TTY: 711
8am-8pm EST, Monday through Friday
- Routine Transportation:
1-844-476-6334; TTY: 711
8am-8pm EST, 7 days a week, October 1 through March 31 and Monday through Friday, April 1 through September 30
- Over-The-Counter Rx and
Products:
1-844-479-6334; TTY: 711
8am-9pm EST, Monday-Friday
- Routine Hearing Exams and Hearing Aids
1-877-438-9544; TTY: 711
8 AM to 8 PM, EST, Monday-Friday
- All Plan Members:
Please call CareFirst Medicare Advantage prior to all non-emergency inpatient admissions.
Prescription Drug Services
- Part D Member Services:
1-844-786-6762; TTY: 711Member Services
PO Box 915
Owings Mills, MD 21117 - Requests for Prior Authorizations and Exceptions:
1-855-344-0930; TTY: 711
- Pharmacy Help Desk (For Pharmacy Use Only):
1-866-693-4620
Where to Write:
Member Services
PO Box 915
Owings Mills, MD 21117
Where to Send Premium Billing Forms:
Electronic Fund Transfer (EFT) Forms:
Attention Premium Billing
CareFirst BlueCross BlueShield Medicare Advantage
PO Box 915
Owings Mills, MD 21117
Social Security Administration/Railroad
Retirement Board Deduction Forms:
Attention: Enrollment Department
CareFirst BlueCross BlueShield Medicare Advantage
PO Box 915
Owings Mills, MD 21117
Where to Submit Claims:
Medical and Hospital Claims
Providers: Please submit your
claims electronically (preferred method) via Electronic Data Interchange (EDI). The payor ID for our Clearinghouse, Change Healthcare (formerly Emdeon) is 45282.
Providers can obtain additional information about submitting claims through Change Healthcare by calling 866-506-2830 or visiting the website at //www.changehealthcare.com. Any paper claims should be submitted to:
CareFirst BlueCross BlueShield Medicare Advantage
PO Box 9208
Canton, MA 02021
Members: Please submit your claims for reimbursement to:
CareFirst BlueCross BlueShield Medicare Advantage
Claims Reimbursement
PO Box 915
Owings Mills, MD 21117
Behavioral Health Claims
CareFirst BlueCross BlueShield Medicare Advantage
c/o Beacon Health
P.O. Box 1850
Hicksville, NY
11802-1850
Part D Drug Claims
CareFirst BlueCross BlueShield Medicare Advantage
c/o CVS Caremark
P.O. Box 52066
Phoenix, AZ 85072-2066
Where to Submit Appeals and Grievances
Grievances:
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.
8 AM to 8 PM, Monday – Friday from April 1 to September 30
Voice mail is available after business hours to leave messages
FAX: 1-844-405-2158
WRITE: CareFirst BlueCross BlueShield Medicare Advantage
Attention: Appeals & Grievances Department
P.O. Box 915
Owings Mills, MD 21117
Grievances for Part D Prescription Drugs:
CALL: 1-844-786-6762 (TTY users: 711)
FAX: 1-855-633-7673
WRITE: Grievance Department
P.O. Box 30016
Pittsburgh, PA
15222-0330
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
8
AM to 8 PM, Monday – Friday from April 1 to September 30
Voice mail is available after business hours to leave messages
FAX: 1-844-405-2158
WRITE: CareFirst BlueCross BlueShield Medicare Advantage
Attention: Appeals & Grievances Department
P.O. Box 915
Owings Mills, MD 21117
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
P.O. Box 52000
Phoenix, AZ 85072-2000