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Carefirst.+.VProvider Inquiry Resolution FormFamily of health care plansINSTRUCTIONS FOR PROVIDER USE ONLYImportant: Do not use this form for Appeals or corrected claims. This form is to be used for.

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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 1-410-779-9369 or 1-800-730-8530 to get one. We will mail or fax the appeal form to you and provide assistance if you need help completing it.

Unique prefix. CareFirst IDs have plan codes 080/580 and 190/690. Advantage Enhanced Prefix–MAC. CareFirst IDs have plan code 193.

If your password is not working correctly, please use the "Forgot Password" function or contact your Office Manager for assistance. If your password has expired, please contact your Office Manager for assistance. Our Help Desk can be reached at 1-877-526-8390.

The provider appeal process is separate from Blue Cross NC 's member rights and appeals process. If at any time the member files an appeal during a provider appeal review, the member's appeal supersedes the provider appeal. All appeals are required to be submitted within 90 days of the date of the denial.

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.

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.

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.

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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
Content Takedown Policy
Bug Bounty Program
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