CareFirst BlueCross BlueShield District of Columbia (NCA)
Part of CareFirst, Inc.
Summary
CareFirst BlueCross BlueShield District of Columbia (NCA) 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 SB580, with 8 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, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
SB580Also seen as 00080, 11102, 1509, 2425, BCDCC, DCBCBS and 2 more- Also known as
- BCBS DC and National Capital Area, CareFirst Blue Cross Blue Shield
- 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 |
| 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 BlueCross BlueShield District of Columbia (NCA)?
- The payer ID for CareFirst BlueCross BlueShield District of Columbia (NCA) is SB580. Alternate IDs seen across clearinghouses include 00080, 11102, 1509, 2425.
- How long does CareFirst BlueCross BlueShield District of Columbia (NCA) provider enrollment take?
- CareFirst BlueCross BlueShield District of Columbia (NCA) 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 BlueCross BlueShield District of Columbia (NCA) require CAQH?
- Yes. CareFirst BlueCross BlueShield District of Columbia (NCA) uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- Does CareFirst BlueCross BlueShield District of Columbia (NCA) require ERA enrollment?
- Yes. CareFirst BlueCross BlueShield District of Columbia (NCA) requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does CareFirst BlueCross BlueShield District of Columbia (NCA) cover?
- CareFirst BlueCross BlueShield District of Columbia (NCA) 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.