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You may file your appeal in writing. We have a simple form you can use to file your appeal. Please call Member Services at or to get one.

We will mail or fax the appeal form to you and provide assistance if you need help completing it. This form can also be found on our website at www. Owings Mills, MD Your doctor can also file an appeal for you if you sign a form giving him or her permission.

Other people can also help you file an appeal, like a family member or a lawyer, when they file a form i. When you file an appeal, be sure to let us know any new information that you have that will help us make our decision.

We will send you a letter letting you know that we received your appeal within 5 business days of receipt in the company. While your appeal is being reviewed, you can still send or deliver any additional information that you think will help us make our decision. The appeal process may take up to 44 days if you ask for more time to submit information or we need to get additional information from other sources. We will send you a letter if we need additional information.

If your doctor or CareFirst CHPMD feels that your appeal should be reviewed quickly due to the seriousness of your condition, this is called an expedited appeal. You will receive a decision about your appeal within 72 hours. When you ask for an expedited appeal, you may do so by calling us, or asking us in writing.

If we do not feel that your appeal needs to be reviewed quickly, we will try to call you and send you a letter letting you know that your appeal will be reviewed within 30 days. If your appeal is about a service that was already authorized and you were already receiving, you may be able to keep getting the service while we review your appeal. Contact us at if you would like to keep getting services while your appeal is reviewed.

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Interested in CareFirst, but waiting for the right opportunity? Join our talent network. If you are a current or former CareFirst employee and need employment verification or related support, please send your request for assistance. Learn more about fraud. Report suspected fraud form. Concerned about privacy? Please review our Notice of Privacy Practices. If you have a concern, you may contact the Privacy Office at Please call Technical Support at , Monday-Friday, 8 a.

Whether you are an existing member or looking to buy a CareFirst plan, send us your questions and a representative will reach out to you to help resolve your issue. Skip Navigation. Login Register. Have questions about health insurance? Explore our Insurance Basics pages. We're on a mission to make quality care affordable, easy to use and available to everyone in Maryland, Washington, D. Learn about who we are and who we advocate for. Discover how we're investing in the health of our communities.

Learn how we're working to transform healthcare. Our online resources, tools and support make doing business with CareFirst easy, so you can focus on patient care. Apply Now. Interested in making a meaningful difference in our community? Explore our career opportunities to find your place with one of the world's most ethical companies. Search Jobs. Have a question for us? If you are looking to buy or renew a CareFirst plan, please contact us at Have a question about individual or family plans?

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