Medical and Hospital Services
Prescription Drug Services
Member Services PO Box 915 Owings Mills, MD 21117
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
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 http://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 Carelon Behavioral 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
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:
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
Appeals for Part D Prescription Drugs:
WRITE: CVS Caremark Coverage Determinations/Exceptions P.O. Box 52000 Phoenix, AZ 85072-2000
We can answer your questions and assist you in enrolling in CareFirst Medicare Advantage.
Prospective Member: 1-844-331-6334 (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
By providing this information you are agreeing to receive information (emails and/or phone calls) by a CareFirst Medicare Advantage licensed sales agent.
Current Member: 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