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  • Medicare Secondary Payer Calculation - Form 4011 - Carefirst

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The Medicare Secondary Payer (MSP) calculation equals: the total number of ... whether they are members of a CareFirst plan or any other plan, or have .

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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.

The one that pays second (secondary payer) only pays if there are costs the primary insurer didn't cover. The secondary payer (which may be Medicare) may not pay all the remaining costs. If your group health plan or retiree coverage is the secondary payer, you may need to enroll in Medicare Part B before they'll pay.

CareFirst Administrators (CFA) is a third-party administrator (TPA) of health benefits in Maryland, Washington D.C. and Northern Virginia. Locally, we are affiliated with CareFirst BlueCross BlueShield (CareFirst), and nationally we are supported by the Blue Cross and Blue Shield Association (BCBSA).

All requests for claims adjustments or reconsiderations must be submitted within 180 days of the date of remittance and mailed to the address below.

The Medicare secondary payment is the lowest of the following: (1) The gross amount payable by Medicare (that is, the amount payable without considering the effect of the Medicare deductible and coinsurance or the payment by the primary payer), minus the applicable Medicare deductible and coinsurance amounts.

Claims Filing CareFirst strongly encourages providers to submit claims, pre-treatment estimates, and required attachments electronically. CareFirst's dental payer code is 00580.

You can easily send claims electronically using payer code 75191.

Who do I contact? Answer: Please call CareFirst at 800-245-7013.

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© Copyright 1997-2025
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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