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CareFirst on Call

CareFirst on Call—Institutional Reference Card Provider Benefit Codes for Institutionally Billed Services These benefits are categorized by the following types. Diagnostic Services 125 Allergy Testing 186 Cat-Scan 202 Colonoscopy 252 EEG/Electroencephalogram and EKG/ Electrocardiogram 420 Laboratory Tests/Medical 421 Laboratory Test/Routine

https://provider.carefirst.com/carefirst-resources/provider/pdf/carefirst-on-call-reference-card-institutional-pcm1035.pdf

Provider Manual - CareFirst

your CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. (CareFirst) patients. Per the terms of the Participation Agreement, all providers are required to adhere to all policies and procedures contained in this manual, as applicable. If we make any procedural changes, in our ongoing efforts to improve our service to you, we will

https://provider.carefirst.com/carefirst-resources/provider/pdf/professional-provider-manual.pdf

CareFirst | Member Information

CareFirst BlueCross BlueShield offers our members the largest network of doctors and providers in Maryland, D.C. and North Virginia. Find a Doctor Our online provider directory will help you find a doctor or medical facility that meets your needs.

https://www.member.carefirst.com/members/home.page

State of Maryland Benefit Guide - CareFirst

or health care facility, at the discretion of CareFirst. Benefit payments to United States Department of Defense and United States Department of Veteran Affairs providers will be made directly to the provider. If CareFirst pays the Subscriber, it is the Member’s responsibility to pay the hospital or health care facility.

https://www.carefirst.com/statemd/attachments/md-employee-benefit-guide-epo.pdf

Electronic Explanation of Benefits (EOB - CareFirst

Answer: An Electronic Explanation of Benefits or E-EOB is a weekly summary of medical and dental claims that have been processed by CareFirst and CareFirst BlueChoice. E- EOBs will display details about claims processed for you, your spouse and/or dependents (if applicable).

https://member.carefirst.com/members/frequently-asked-questions/electronic-explanation-of-benefits-faqs.page

Search Providers | CareFirst BlueCross BlueShield

In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (Used in VA by: First Care, Inc.). First Care, Inc., CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst BlueChoice, Inc. and The Dental Network are independent licensees of the Blue Cross and Blue Shield Association.

https://member.carefirst.com/members/find-providers/provider-directory/search-providers.page

Health Insurance Glossary | CareFirst BlueCross BlueShield

The amount that is not eligible for benefits. Refer to the remarks area for an explanation of the 3-digit code that appears on this line. Non-Participating Provider A medical/ dental provider who has not contracted with a particular health plan within its participating provider network.

https://member.carefirst.com/members/health-insurance-glossary/health-insurance-glossary-n.page

Members - My Account - CareFirst

In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (Used in VA by: First Care, Inc.). First Care, Inc., CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst BlueChoice, Inc. and The Dental Network are independent licensees of the Blue Cross and Blue Shield Association.

https://member.carefirst.com/members/login/solo-individual.page

Dental Insurance Glossary | CareFirst BlueCross BlueShield

A provider who participates in the network cannot charge the member more than this amount for any covered services. Alternate Procedure A code in the Alternate Procedure field that indicates the procedure code to be used in the calculation of benefits in place of the procedure code actually submitted on the claim. Alveolar

https://employer.carefirst.com/employer/health-insurance-glossary/dental-insurance-glossary.page

CareFirst Launches Updated Provider Directory

The improved tool boasts a new look, offers better search experience. Baltimore, MD (August 11, 2016) - CareFirst BlueCross BlueShield (CareFirst) recently launched the first in a series of updates to the company’s provider directory, making it easier for customers to find information about their health care providers.

https://individual.carefirst.com/individuals-families/news/media-news/2016/carefirst-launches-updated-provider-directory.page

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