CareFirst Blue Cross Blue Shield Maryland
Part of CareFirst, Inc.
Summary
CareFirst Blue Cross Blue Shield Maryland is a regional health plan, part of CareFirst, Inc., offering dental, medical, and vision coverage operating in Maryland, the District of Columbia, and Virginia. Claims route under payer ID 00580, with 12 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through CareFirst Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
00580Also seen as 00190, 00690, 10095, 10270, 12011, 190 and 6 more- Also known as
- Blue Cross Blue Shield of Maryland / Carefirst, CareFirst Blue Cross Blue Shield, CareFirst Blue Cross Blue Shield Maryland - Medicare Advantage
- Uses CAQH
- YesApplication route: CAQH application only
- Service area
- MD, DC, parts of VA
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for CareFirst Blue Cross Blue Shield Maryland?
- The payer ID for CareFirst Blue Cross Blue Shield Maryland is 00580. Alternate IDs seen across clearinghouses include 00190, 00690, 10095, 10270.
- How long does CareFirst Blue Cross Blue Shield Maryland provider enrollment take?
- CareFirst Blue Cross Blue Shield Maryland provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does CareFirst Blue Cross Blue Shield Maryland require CAQH?
- Yes. CareFirst Blue Cross Blue Shield Maryland uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- Does CareFirst Blue Cross Blue Shield Maryland require ERA enrollment?
- Yes. CareFirst Blue Cross Blue Shield Maryland requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does CareFirst Blue Cross Blue Shield Maryland cover?
- CareFirst Blue Cross Blue Shield Maryland operates in MD, DC, parts of VA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
Related payers
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.