CareFirst Community Health Plan Maryland
dentalmedicalvision
Summary
CareFirst Community Health Plan Maryland is a dental, medical, and vision payer operating in Maryland. Claims route under payer ID 45281, 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
45281Also seen as 45281MA, 6647, 6749- Also known as
- CareFirst Blue Cross Blue Shield Community Health Plan Maryland, CareFirst BlueCross BlueShield Community Health Plan Maryland, Riverside Health Maryland, University of Maryland Health Partners Inc.
- Service area
- MD
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 | Same day |
Common questions
- What is the payer ID for CareFirst Community Health Plan Maryland?
- The payer ID for CareFirst Community Health Plan Maryland is 45281. Alternate IDs seen across clearinghouses include 45281MA, 6647, 6749.
- Does CareFirst Community Health Plan Maryland require ERA enrollment?
- Yes. CareFirst Community Health Plan Maryland requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
- What states does CareFirst Community Health Plan Maryland cover?
- CareFirst Community Health Plan Maryland operates in MD. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does CareFirst Community Health Plan Maryland offer?
- CareFirst Community Health Plan Maryland covers dental, medical, and vision.
- Can I submit claims to CareFirst Community Health Plan Maryland electronically?
- Yes. CareFirst Community Health Plan Maryland 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).
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.