- If you cannot complete your eligibility/benefits inquiry online, please contact us at 800-842-5975.
- Pre-Auth, Provider Portal/CareFirst Direct applications will be unavailable Sat, Jul 27 at 5PM to Sun, Jul 28 at 5AM.
Paper Claims
If you are still submitting paper claims, use the following forms to submit your claims:
Professional Claims
Professional claims must be submitted using the current version of the CMS-1500 form (version 02/12) on original red-ink-on-white-paper. To order a supply of forms, please use your normal process.
Institutional Claims
Institutional claims must be submitted using the current version of the UB-04 form. Visit the NUBC website to find details for using and ordering the new form.