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CareFirst Administrators

dentalmedicalvision

Summary

CareFirst Administrators is a dental, medical, and vision payer operating in Maryland, Virginia, and the District of Columbia. Claims route under payer ID 75191, with 3 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID
75191Also seen as 12273, 3874, CFCHL
Also known as
CFA, LLC, National Claims Administrative Services Charlotte, National Claims Administrative Services Charlotte North Carolina
Service area
MD, VA, DC

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Claim status (276/277)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSame day

Common questions

What is the payer ID for CareFirst Administrators?
The payer ID for CareFirst Administrators is 75191. Alternate IDs seen across clearinghouses include 12273, 3874, CFCHL.
Does CareFirst Administrators require ERA enrollment?
Yes. CareFirst Administrators requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
What states does CareFirst Administrators cover?
CareFirst Administrators operates in MD, VA, DC. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does CareFirst Administrators offer?
CareFirst Administrators covers dental, medical, and vision.
Can I submit claims to CareFirst Administrators electronically?
Yes. CareFirst Administrators is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.