Change Healthcare Notice

Out-of-Area Pre-Service Review - Now Online

January 09, 2014 - Your Pre-Service Review requests for out-of-area members can now be submitted online:

  1. Log in to the Provider Portal ( CareFirst Direct)
  2. Click on the Pre-Auth / Notifications tab
  3. Enter the out-of-area member's alpha prefix to be routed to the member's Home Plan

If you experience technical issues, call 1-800-676-BLUE.

Learn More

Visit  www.carefirst.com/cpet  to get trained to use this Electronic Provider Access (EPA) tool provided by the Blue Cross and Blue Shield Association.

As a reminder, visit www.carefirst.com/preauth > Out-of-Area and enter the out-of-area member's alpha prefix to determine whether Pre-Service Review is required.

New CMS-1500 Claim Form

Use the new CMS-1500 form  to submit paper claims.

Want to get paid faster?  Submit claims online.

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