CareFirst Medicare Advantage
dentalmedicalvision
Summary
CareFirst Medicare Advantage is a dental, medical, and vision payer. Claims route under payer ID 193. 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
193
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 Medicare Advantage?
- The payer ID for CareFirst Medicare Advantage is 193.
- Does CareFirst Medicare Advantage require ERA enrollment?
- Yes. CareFirst Medicare Advantage requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What types of coverage does CareFirst Medicare Advantage offer?
- CareFirst Medicare Advantage covers dental, medical, and vision.
- Can I submit claims to CareFirst Medicare Advantage electronically?
- Yes. CareFirst Medicare Advantage 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 Spot something out of date?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.