Learn More. The Peer-to-Peer request must be received by Maryland Amerigroup maryland prior authorization Care within two 2 business days of the initial notification of the denial. The intent of the Peer-to-Peer is to discuss the denial decision with the ordering clinician or attending physician. For specific details prioe authorization requirements, please refer to our Quick Reference Guide. Certain carefirst mental providers require prior authorization regardless of place of service.
Visit www. Use the mobile app to get your member information on the go, or log in to the My Account section of CareFirst. You can register with My Account using your social security number, or call Member Services at to get it. The BlueChoice network is a local network of providers. You may also use this online directory to search for BlueCard PPO providers outside of the local area.
Follow the instructions above, then click on the link for providers outside the Metro area. The CareFirst BlueChoice Advantage plan allows members the flexibility to choose a health care provider when and where treatment is needed. When care is received inside the CareFirst service area members will experience the lowest out of pocket costs when they visit a BlueChoice provider. Members still have the option to access a BlueCard PPO doctor, but will be subject to higher out of pocket expenses.
The federal No Surprises Act requires health plans to verify all provider directory data every 90 days. It also requires all providers and facilities submit this information to in-network plans. Unverified providers may be removed from our directory. Fax inpatient admission notification forms and related medical records to Fax prior authorization request forms to Email: EDI premera.
No claims or PPI information. Call customer service and web support at between 8 a. Current location: AK Washington and other states.
Customer service Sign in to Availity for online member eligibility and benefits, claims status, and payment information. Availity secure tools For help with Availity technical issues or registration information, call , 8 a. Physician and provider relations If you have questions, please email us.
Has your office information changed recently? BlueCard Call BLUE to verify benefits or eligibility for BlueCard members Be sure to have the subscriber or member identification number available when you call Call to reach Premera's BlueCard claims customer service team.
Log in to your local Blue plan's website Visit our BlueCard Resources page Clinical review Call Clinical Review at , option 3 , for help with: Admission screening and triage Clinical review Case management Fax inpatient admission notification forms and related medical records to
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Member Service Phone Numbers (Monday-Friday, 8 a.m. to 6 p.m.) Members who bought ACA Plans directly from CareFirst (off exchange) Members who bought ACA Plans . Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group . In Virginia, CareFirst BlueCross BlueShield, CareFirst MedPlus, and CareFirst Diversified Benefits are the business names of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). The .