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  • Prior Authorization Request - - Carefirst Bluecross Blueshield

Get Prior Authorization Request - - Carefirst Bluecross Blueshield

Prior Authorization Request Send completed form to: Case Review Unit CVS Caremark Specialty Programs Fax: 18553301720 CVS Caremark administers the prescription benefit plan for the patient.

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Participating Providers: to initiate a request and to check the status of your request, visit CareFirst Direct at carefirst.com. Please fax authorization request to 410-781-7661. CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc.

CareFirst BlueCross BlueShield Community Health Plan Maryland (CareFirst Community Health Plan Maryland or CareFirst CHPMD) is a Medicaid Managed Care Organization that participates in the Maryland HealthChoice Program. Carefirst CHPMD offers a health plan that combines personal attention with world-class healthcare.

If you have any additional questions, please call Member Services at 410-779-9369 or toll-free at 1-800-730-8530 (TTY:711) Monday – Friday, 8:00 AM – 5:00 PM.

In most cases, you should receive a response via fax or telephone within two business days. Please fax only the authorization request form to (410) 781-7661. If requesting an authorization for a CareFirst employee, fax the request to (410) 505-2840. Please submit this completed form only at this time.

Provider Portal – CareFirst Direct Access For technical questions, contact our Help Desk at 1-877-526-8390. We also have user guides to walk you through common transactions.

(Blue Cross) and Maryland Medical Service (Blue Shield) changed their names to Maryland Blue Cross and Maryland Blue Shield. In 1998, the Maryland and District of Columbia companies merged to form CareFirst BlueCross BlueShield.

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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
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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:
+1 833 426 79 33
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