Provider Portal (CareFirst Direct) Functionalities Got an Upgrade. Four New User Guides Can Help You Navigate. Have you logged into the Provider Portal (CareFirst Direct) recently? If so, you will have noticed it looks a little different.To request a step therapy exception: Fax a Step Therapy Exception Form to CVS Caremark. Maryland Form: 1-888-836-0730. Virginia Form: 1-855-245-2134. Call CVS Caremark at 1-855-582-2022. Preferred drug lists for providers and physicians in the CareFirst BlueCross BlueShield network.Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group …... Provider Notice. Other Information. Community · Health Insurance Glossary ... CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of ...If you choose to review each payor’s request individually, please first contact CareFirst directly at 410-872-3500 or at our toll-free number, 877-269-9593, to be added to the CAQH roster before beginning the CareFirst CAQH questionnaire. For more information about how to use CAQH ProView, please view the CAQH Provider Quick Reference Guide.For questions about claims that are denied because of enrollment, copay/deductible, lack of prior authorization and claims payment, contact Provider Services at 800-842-5975 or 202-479-6560. An inquiry must be submitted to the appropriate addresses below within 180 days or six months from the date of the EOB.If you cannot access CareFirst Direct, please use the Provider Inquiry Resolution Form (PIRF) to submit an Inquiry. Helpful Tips when completing a PIRF: Use ...(Providers submitting non-FEP inquiries) Mail Administrator P.O. Box 14114 Lexington, KY 40512-4114 (Providers in Montgomery & Prince Georges counties, Washington, DC and Northern Virginia) Mail Administrator P.O. Box 14112 Lexington, KY 40512-4112Important Note about Provider Directory Data: Per Federal Regulations, you MUST update your provider directory information at least every 90 days with CareFirst directly. To assist, CareFirst has a self-service tool integrated within our Provider Portal you can utilize to update your data. Dental providers that accept CareCredit can be found on the company’s website, which is carecredit.com The website gives the names of dentists based on the consumer’s locale, as of...CareFirst BlueCross BlueShield offers our members the largest network of doctors and providers in Maryland, D.C. and North Virginia. ... Search by name or provider type in our online provider directory. Search For Care. A new patient-centric, virtual-first primary care practice. Compassionate care for over 100 conditions through an easy-to-use ...HMO plans offer the flexibility to see any of the 44k participating providers in the BlueChoice network. Outside of our network, only emergency medical services are covered. Preferred Provider Organization (PPO) PPO plans offer the most flexibility. Care can be accessed from the PPO network of more than 47k providers locally and thousands ...Mar 14, 2023 · If you need to update your data or submit a new application while the current on-line self-service tools are not accessible, you can submit those requests manually utilizing the forms outlined below and send to: Mail Administrator, P.O. Box 14763 Lexington, KY 40512 or fax to: 410-872-4107. For Provider Directory Updates. BlueCard. If you choose a CareFirst BlueCross BlueShield PPO or POS plan, you are automatically enrolled in the BlueCard program, which offers you access to providers and hospitals nationwide.. With your BlueCross and BlueShield member ID card, you have access to the more than 95% of national providers and hospitals throughout the United …CareFirst Community Health Plan Maryland |. . If you need assistance, call MHC at 1-855-642-8572. CareFirst CHPMD Providers: Encourage your patients to update their information. Find out how you can help your patients renew their coverage here.The Addiction Program. For patients struggling specifically with substance use or addiction, CareFirst connects patients with trusted providers in outpatient settings who provide therapy, medication assisted treatment care options, support groups and education as part of Intensive Outpatient Treatment. Learn more about the Addiction …CareFirst BlueCross BlueShield website for Providers & Physicians. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc., and First Care, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst ... 3 Feb 2022 ... Life is full of firsts. First competitions and first dates. First gamedays and first homes. For every first, make health your first.CareFirst has developed a holistic approach to combat the opioid epidemic through various strategies, including prevention, treatment options, and support and outreach. As a clinician, you can help reduce opioid misuse and addiction through ongoing communication, engagement and assisting patients to better understand their opioid medications ...In today’s world, it can be difficult to keep track of all the different service providers that we use. From internet and phone services to streaming services and more, it can be h...Participation and Credentialing Requirements for Institutional/Ancillary Providers. Submit a completed Request for Information (RFI) Application and a Facility Data Sheet for each location along with all required credentialing documents, by mail or fax to: CareFirst BlueCross BlueShield. 10455 Mill Run Circle. Owings Mills, MD 21117-0825.CareFirst, CFA and BCBSA. Think of BCBSA as an umbrella. It is the national partnership between all Blue Cross Blue Shield insurance entities. In most cases, if our members need treatment outside of their in-network provider service area, BCBSA allows access to coverage through its broad BlueCard PPO network. Regionally, CareFirst’s ...As a CareFirst member, you have access to resources to support you or a loved one. Please call 800-245-7013 for help. ... As a CareFirst member, you have access to providers and resources if you or a loved one is living with a mental health condition or substance use disorder.A list of Spectera vision providers is available using the Provider Quick Search function on MySpectra.com. Entering a ZIP code returns a list of local Spectera vision providers.Log in to the Provider Portal at provider.carefirst.com. You can search for a Member to check their Eligibility and Benefits information directly from the CareFirst Direct home page. We recommend checking eligibility and benefits every visit to ensure accuracy. Medical Policy. General Pre-Service Review information. If you experience technical difficulties or need additional information, please contact 1.800.676.BLUE. Pre-Service Review (Pre-Certification and Pre-Authorization) for Out-of-Area CareFirst BlueCross BlueShield members.Medical forms for providers and physicians in the CareFirst BlueCross BlueShield network. Important information on NASCO’s MOVEit data security incident. ... CareFirst MedPlus is the business name of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc ...CareFirst is paying a $20.00 flat fee for phone consultations provided by behavioral health providers in CareFirst’s network. Psychiatrists and Nurse Practitioners should use CPT 99441.* Psychologists, Licensed Certified Social Workers and Licensed Professional Counselors should use code 98966. We selected these codes as check-ins for all ...Provider experience Identify and improve the priority areas of organizational health within Carefirst Demonstrate Carefirst cares for its staff’s work life balance and HR communications, as much as it does for its clients, through adapting leading-edge human resources management concepts, policies and practices.Solutions focused. Avēsis’ specialty benefits complete healthcare so members can live life completely. We deliver health outcomes designed to produce life-changing impacts on the communities we serve. For over 40 years, we’ve provided personalized care designed to uplift communities. Our member-centered approach to care focuses on building ...As a health plan, CareFirst is committed to offering programs and services designed to create the maximum positive impact and health outcomes for our members. CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Servi ces, Inc. CareFirst of Maryland,Serving Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst …CareFirst makes it easy to get the prescription drug care you need: Coverage for nearly 5,000 drugs. Find out if a specific drug is covered, what cost-share tier it falls under and if any restrictions apply. Locate a participating pharmacy near you. Personalized care management notices detailing cost savings opportunities, safety alerts and ...Medical Professional Providers: Provider Directory Updates Self-Service tool will be unavailable beginning 2/17. Click Here for details. Provider Portal/CareFirst Direct applications will be unavailable from Sat, 2/16 from 10 PM to Sun, 2/17 at 5 PM.P.O. Box 14114. Lexington, KY 40512-4114. Institutional Providers. Clinical Appeals and Analysis Unit (CAU) CareFirst BlueCross BlueShield. P.O. Box 17636. Baltimore, MD 21298-9375. All Appeal decisions are answered in writing. Please allow 30 days for a response to an Appeal.Clinical resources for providers and physicians in the CareFirst BlueCross BlueShield network. Important information on NASCO’s MOVEit data security incident. ... CareFirst MedPlus is the business name of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). CareFirst of Maryland, Inc., Group Hospitalization and Medical Services ...Use of this portal does not confirm that you are actively enrolled in CareFirst Medicare Advantage. Please call our Member Services Department at 410-779-9932 or toll-free at 1-844-386-6762 (TTY users call 711) to confirm enrollment status. Portal access may take up to 5-7 business days. Member Login Please note that by registering and using ...877‐228‐7268. Send claims to your local plan: Mail Administrator P.O. Box 14116 Lexington, KY 40512. Mail Administrator P.O. Box 14114 Lexington, KY 40512. Medicare Advantage HMO—. MAC CareFirst IDs have plan code 193. 855‐290‐5744 Fax: 410‐605‐2566. CareFirst BlueCross BlueShield Medicare Advantage P.O. Box 4495 Scranton, PA 18505. The Provider Quick Reference Guide. Update Data in Provider Directory. Membership Identification Card Quick Reference Guide. Provider Link List. Institutional and Ancillary Credentialing Requirements. Guidelines for Provider Self-Services. 6 Easy Tools for You: Fast. Efficient. Online. CareFirst BlueCross BlueShield website for Providers & Physicians. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc., and First Care, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst ... In today’s digital world, email has become an essential part of our daily lives. Whether it’s for personal or professional use, having a reliable and user-friendly email provider i...Important Note about Provider Directory Data: Per Federal Regulations, you MUST update your provider directory information at least every 90 days with CareFirst directly. To assist, CareFirst has a self-service tool integrated within our Provider Portal you can utilize to update your data. If you have comments or questions, we want to help you. For technical support, call the CareFirst Help Desk at (877) 526 – 8390. Below is a list that may assist you with your CareFirst provider-related questions. Contact our Credentialing Department to become a participating provider. Find your provider representative.Medical Professional Providers: Provider Directory Updates Self-Service tool will be unavailable beginning 2/17. Click Here for details. Provider Portal/CareFirst Direct applications will be unavailable from Fri, 2/16 from 10 PM to Sat, 2/17 at 6PM.Are you in the market for a new energy provider? With so many options out there, it can be overwhelming to determine which one is the best fit for your needs. One company that has ...The vendor is solely responsible for the services it provides.): ChangeHealthcare at (866) 506-2830. Medical and Hospital EFT Enrollment Forms | Change Healthcare. Availity at (800) 282-4548. The following information is required when contacting your clearinghouse to enroll for EFT services: National Provider Identifier (NPI) – Billing NPI.(Providers submitting non-FEP inquiries) Mail Administrator P.O. Box 14114 Lexington, KY 40512-4114 (Providers in Montgomery & Prince Georges counties, Washington, DC and Northern Virginia) Mail Administrator P.O. Box 14112 Lexington, KY 40512-4112Find a Provider Rep. The representatives below are available for inquiries from our network providers. To find contact information for the Provider Relations Representative in your area, download the appropriate PDF. If you are a provider that has a question regarding claim issues, contact the designated Provider Service area found on the ... TORONTO, March 19, 2021 (GLOBE NEWSWIRE) -- Just Energy Group Inc. (“Just Energy” or the “Company”) (TSX:JE; NYSE:JE), a retail energy provider ... TORONTO, March 19, 2021 (GLOBE...In today’s digital age, having a personal email account is essential for staying connected with friends, family, and colleagues. With so many email providers available, choosing th...CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. (CareFirst) patients. Per the terms of the Participation Agreement, all providers are required to adhere to all policies and procedures contained in this manual, as applicable. If we make any procedural changes, in our ongoing efforts to improve our service to you, we will update theCareFirst’s Dental section is designed to assist dental providers in caring for our members. It offers information on our dental claims submission process, directs you to our dental resources and helps you work efficiently with us. Overview of CareFirst's Dental policies and procedures for providers and physicians in the CareFirst BlueCross ... Connecting Maryland-Based Primary Care Providers to Free for-Credit Resources. Complete the Required Model of Care Training Course for 2023 Today! Stay in Control of Your Data with Our Self-Service Tool. CareFirst’s Care Management Updates – Effective January 1, 2023.CareFirst has developed a holistic approach to combat the opioid epidemic through various strategies, including prevention, treatment options, and support and outreach. As a clinician, you can help reduce opioid misuse and addiction through ongoing communication, engagement and assisting patients to better understand their opioid medications ...For questions about claims that are denied because of enrollment, copay/deductible, lack of prior authorization and claims payment, contact Provider Services at 800-842-5975 or 202-479-6560. An inquiry must be submitted to the appropriate addresses below within 180 days or six months from the date of the EOB.Gain insights from the results of member and provider surveys, concept testing, focus groups, and more. Keep up with prescription drug benefits, care coordination programs, clinical resources, episode of care models, and all things patient related. Hear different perspectives, opinions and thoughts on relevant issues from CareFirst leaders and ...877‐228‐7268. Send claims to your local plan: Mail Administrator P.O. Box 14116 Lexington, KY 40512. Mail Administrator P.O. Box 14114 Lexington, KY 40512. Medicare Advantage HMO—. MAC CareFirst IDs have plan code 193. 855‐290‐5744 Fax: 410‐605‐2566. CareFirst BlueCross BlueShield Medicare Advantage P.O. Box 4495 Scranton, PA 18505.Resources for CareFirst healthcare delivery partners. CareFirst is committed to a provider experience that is simple, clear and human. Our goal is to create a meaningful and memorable learning experience through educational opportunities tailored to your needs. These resources give you the tools you need to make interacting and working with us ... CareFirst Provider is the official website for providers and physicians who want to access CareFirst Direct, a portal for eligibility and benefits verification, claim status, remittance …If you’re a Medicare beneficiary, you know how important it is to find the right healthcare provider. With so many options out there, it can be overwhelming to choose a doctor or s...Medical Professional Providers: Provider Directory Updates Self-Service tool will be unavailable beginning 2/17. Click Here for details. Provider Portal/CareFirst Direct applications will be unavailable from Fri, 2/16 from 10 PM to Sat, 2/17 at 6PM. Companion Guides. CareFirst has six companion guides, to be used in conjunction with the HIPAA Implementation Guides, explaining the procedures necessary for our trading partners to conduct Electronic Data Interchange (EDI) transactions. These guides will be expanded and updated as additional standard transactions are ready for testing. Guide Name.Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc. and First Care, Inc. are affiliate companies and also offer health benefit products and services on this site.(Providers submitting non-FEP inquiries) Mail Administrator P.O. Box 14114 Lexington, KY 40512-4114 (Providers in Montgomery & Prince Georges counties, Washington, DC and Northern Virginia) Mail Administrator P.O. Box 14112 Lexington, KY 40512-4112Professional Provider Manual for providers and physicians in the CareFirst BlueCross BlueShield network. Important information on NASCO’s MOVEit data security incident. ... CareFirst MedPlus is the business name of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). CareFirst of Maryland, Inc., Group Hospitalization and Medical ...Connecting Maryland-Based Primary Care Providers to Free for-Credit Resources. Complete the Required Model of Care Training Course for 2023 Today! Stay in Control of Your Data with Our Self-Service Tool. CareFirst’s Care Management Updates – Effective January 1, 2023.Highlights of the HealthyBlue plans: No referrals. The member must submit the Health and Wellness Evaluation Form to CareFirst once complete. CareFirst members must complete the program requirements within 180 days of their effective date in order to quality for an incentive (Healthy Reward). Overview of CareFirst's HealthyBlue plans for ...Companies provide services through the Internet including email, Skype, Twitter, instant messaging and videoconferencing. The World Wide Web and instant access to information are a...May 10, 2018 · CareFirst's Behavioral Health and Substance Use Disorder Programs. Support for patients struggling with mental illness or addiction. May 10, 2018 -. As part of CareFirst’s ongoing efforts to increase access to behavioral health and substance use disorder services, we offer programs and resources to help meet the specific needs of your ... CAQH ProView. CareFirst utilizes the Council for Affordable Quality Healthcare (CAQH) ProView ® solution as our Credentialing Verification Organization.. CAQH ProView Allows you to: Meet reporting requirements – When you use CAQH’s ProView solution, you can easily self-report data required by health plans, hospitals and other organizations.. Enter …CareFirst makes it easy to get the prescription drug care you need: Coverage for nearly 5,000 drugs. Find out if a specific drug is covered, what cost-share tier it falls under and if any restrictions apply. Locate a participating pharmacy near you. Personalized care management notices detailing cost savings opportunities, safety alerts and ...The vendor is solely responsible for the services it provides.): ChangeHealthcare at (866) 506-2830. Medical and Hospital EFT Enrollment Forms | Change Healthcare. Availity at (800) 282-4548. The following information is required when contacting your clearinghouse to enroll for EFT services: National Provider Identifier (NPI) – Billing NPI.The Learning Library is a collection of e-learning modules about various topics of interest to CareFirst providers and their office staff. Each module provides up-to-date information that will make working with CareFirst easier for you. Training and educational resources for providers and physicians in the CareFirst BlueCross BlueShield network. Overview. PCMH is entirely voluntary and providers who participate can earn meaningful reimbursement increases of three types:. 12 percentage point increase added to current fee schedule; New fees for developing care plans for select patients with certain chronic or multiple conditions that put them at risk and for monitoring progress against those plansprovider atau rumah sakit provider yang tercantum dalam laman situs ini dapat berbeda dengan daftar terkini yang diterbitkan perusahaan atau yang tercantum dalam polis dan …Are you in the market for a new energy provider? With so many options out there, it can be overwhelming to determine which one is the best fit for your needs. One company that has ...Companion Guides. CareFirst has six companion guides, to be used in conjunction with the HIPAA Implementation Guides, explaining the procedures necessary for our trading partners to conduct Electronic Data Interchange (EDI) transactions. These guides will be expanded and updated as additional standard transactions are ready for testing. Guide Name.HMO plans offer the flexibility to see any of the 44k participating providers in the BlueChoice network. Outside of our network, only emergency medical services are covered. Preferred Provider Organization (PPO) PPO plans offer the most flexibility. Care can be accessed from the PPO network of more than 47k providers locally and thousands ...Solutions focused. Avēsis’ specialty benefits complete healthcare so members can live life completely. We deliver health outcomes designed to produce life-changing impacts on the communities we serve. For over 40 years, we’ve provided personalized care designed to uplift communities. Our member-centered approach to care focuses on building ...Choosing Professional Carpet Installation Providers - Choosing between different professional carpet installation providers can be tricky. Learn more about this topic at HowStuffWo...CareFirst BlueCross BlueShield website for Providers & Physicians. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc., and First Care, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst ... Provider quick reference guides for providers and physicians in the CareFirst BlueCross BlueShield network. ... In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst ...Medicare Appeals and Grievances. CareFirst Advantage encourages our members to let us know if they have questions, concerns, or problems related to covered services or the care that they receive. Members are encouraged to first contact Member Services at 855-290-5744 for assistance. For information about the rules for making complaints in ... CareFirst Administrators (CFA) is the only third-party administrator in Maryland, D.C. and Northern Virginia providing flexibility and superior service, through the most trusted name in health care—locally through CareFirst BlueCross BlueShield, and nationally through the Blue Cross Blue Shield Association.The largest provider network in the region and a commitment to value-based, preventative care for all. Learn more about what partnership means to CareFirst. Provider CredentialingFeatured Courses · CareFirst Direct for Dental Providers · Consumer Assessment Healthcare Providers and Systems (CAHPS®) · Understanding Implicit Bias ·...CareFirst Coronavirus Provider News and Updates. Maryland Department of ... CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of ...Provider site login Remember Me information. Serving Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst …Manuals & Guides. CareFirst offers provider manuals and quick reference guides for use by network providers. These documents are designed to help you and your office staff understand member eligibility, benefits and claim status follow-up, and use our online tools. Medical Provider Manual. Dental Provider Manual. Quick Reference Guides. In today’s fast-paced world, finding the best utility providers for your address can be a daunting task. With so many options available, it’s important to do your research and make...In today’s digital age, email has become an integral part of our personal and professional lives. Whether you are signing up for a new email account for personal use or creating on...
Blue Value Plus Option: This plan is an in-network only HMO plan. You must use in-network providers that participate in the BlueChoice network. If you have a CareFirst Federal Employee Plan or considering changing to CareFirst, our online provider directory will help you find a doctor or medical facility that meets your needs.. Oklahoma basketball score
Why CareFirst? Become a part of the largest provider network in the region. Today, more than 90% of the region's most dedicated health care providers serve 3.3 million …Medicare Advantage Prior Authorization Requirements. This list contains prior authorization requirements for Medicare Advantage for inpatient and outpatient services. Procedure/Service. Comments. Inpatient Hospital—Acute. Residential Behavioral Health. Skilled Nursing Facility.Find a Doctor or Health Care Facility. Our directory allows you to search by provider last name or type of provider. To locate a provider within your plan’s network, you will need …Choosing Professional Carpet Installation Providers - Choosing between different professional carpet installation providers can be tricky. Learn more about this topic at HowStuffWo...Provider Portal – CareFirst Direct Access. Need to register for our provider portal? Maintaining an active account for our provider portal ("CareFirst Direct") is one of the …This site is for Carefirst providers who are solo employers or have one employee. You need to log in to access the provider portal, where you can find information on claims, payments, and resources. Learn more about the MOVEit data security incident and how to join the network. 3060 Williams Drive. Fairfax, VA 22030. (703) 934-6200. Owings Mills. General Administrative Offices. 10455 Mill Run Circle. Owings Mills, MD 21117. CareFirst has office locations and licensed affiliates throughout the Maryland, Washington, D.C., and Northern Virginia. View all of our corporate office locations.Click this link: Find a Doctor. Select the Continue as Guest option. Enter a city, state or ZIP to optimize your search. Select a network for the CareFirst plan you’re exploring or the one you currently have. Under Browse by Category, click Primary Care and then All Primary Care. You will see a list of PCPs who are in network for CareFirst ... At CareFirst Imaging, we focus on providing tailored services with unparalleled care for each and every patient. We set the standard for the culture of care in our community and are dedicated to adhering to a standard of excellence. We offer patients two types of MRI services: High-Field MRI and Upright Open MRI.Medical Policy. The online Medical Policy Reference Manual contains approved medical policies and operating procedures for all products offered by CareFirst. Medical policies, which are based on the most current research available at the time of policy development, state whether a medical technology, procedure, drug or device is: Operating ... Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc. and First Care, Inc. are affiliate companies and also offer health benefit products and services on this site. A claim is an official document that details what kind of care you received so that CareFirst can pay your medical provider. A claim will include details about your care including relevant procedures, exams, prescriptions, etc. CareFirst processes claims based on your benefits. For any claim submitted to CareFirst, you’ll get an Explanation ....