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  • Carefirst Provider Inquiry Resolution Form

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PROVIDER INQUIRY RESOLUTION FORM This form should be used when submitting an inquiry. Instructions: n Use a separate form for each patient in question. n Include the entire subscriber identification.

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Submit the request in one of the following ways: via fax to 443-552-7407 / 443-552-7408.

I have a quality of care or service complaint involving medical issues or service given by a doctor or provider in the CareFirst network. Who do I contact? Answer: You can email us at quality.care.complaints@carefirst.com or call Member Services at the number at the back of your ID card.

If you have comments or questions, we want to help you. For technical support, call the CareFirst Help Desk at (877) 526 – 8390. Below is a list that may assist you with your CareFirst provider-related questions. Contact our Credentialing Department to become a participating provider.

To print and mail your claim form, log in to My Account; choose the Plan Documents tab, then Forms. Next, select the appropriate form for your claim (medical, dental, etc.). To have a claim form mailed to you, call Member Services at the phone number on the back of your member ID card.

If you have comments or questions, we want to help you. For technical support, call the CareFirst Help Desk at (877) 526 – 8390. Below is a list that may assist you with your CareFirst provider-related questions.

An Appeal must be submitted within 180 days or 6 months from the date of the Explanation of Benefits. All Appeal decisions are answered in writing. Please allow 30 days for a response to an Appeal.

How can you submit a grievance? Call: 855-290-5744. You can also fax or mail your grievance in writing to us at: Fax: 443-753-2298. Mail: CareFirst BlueCross BlueShield Medicare Advantage. P.O. Box 3626. Scranton, PA 18505. Online: Complete the Medicare Complaint Form.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232