Carefirst bluechoice credentialing number for providers

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For prior authorization and referrals managed by BCBSTX: includes inpatient, residential treatment center RTC programs, partial hospitalization and outpatient behavioral health services. For services managed by Magellan: Contact Availity or other electronic connectivity vendor or call Magellan Behavioral Health Online: Use Availity Attachments application.

All other inquiries — submit an email by selecting the office closest to your location and provide the Tax Identification Number, NPI, and if applicable, Medicare Numbers for your provider when contacting Network Management. Suite El Paso, TX , press 2 Fax: Email to submit provider inquiries and questions. Lookout Drive Richardson, TX Fax: Email to submit provider inquiries and questions.

Note: For behavioral health professional providers, refer to the Network Management Office Locations listed above. Phone: Fax: Email to submit provider inquiries. AIM Specialty Health AIM is an operating subsidiary of Anthem and an independent third party vendor that is solely responsible for its products and services.

Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. BCBSTX makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer. Welcome Employers Producers Providers.

The federal No Surprises Act requires health plans to verify all provider directory data every 90 days. It also requires all providers and facilities submit this information to in-network plans. Unverified providers may be removed from our directory. Fax inpatient admission notification forms and related medical records to Fax prior authorization request forms to Email: EDI premera. No claims or PPI information. Call customer service and web support at between 8 a. Current location: AK Washington and other states.

Customer service Sign in to Availity for online member eligibility and benefits, claims status, and payment information. Availity secure tools For help with Availity technical issues or registration information, call , 8 a.

Physician and provider relations If you have questions, please email us. Has your office information changed recently? BlueCard Call BLUE to verify benefits or eligibility for BlueCard members Be sure to have the subscriber or member identification number available when you call Call to reach Premera's BlueCard claims customer service team. Log in to your local Blue plan's website Visit our BlueCard Resources page Clinical review Call Clinical Review at , option 3 , for help with: Admission screening and triage Clinical review Case management Fax inpatient admission notification forms and related medical records to

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With a provider network this comprehensive — more than 1 million physicians as well as provider facilities, hospitals and other care centers — most of your care needs are covered in-network, which means savings for you. CareFirst has programs which focus on the relationship between you and your doctor whether a physician or nurse practitioner.

Nurses can provide you with medical advice and recommend the most appropriate care. You can consult with a board-certified doctor whenever you want on your smartphone, tablet or computer. This process allows you or your dependents to receive care from out-of-network providers for up to 90 days.

Complete the Continuity of Care form and submit it to CareFirst to determine if you qualify for this process. Viewing and printing this document requires Adobe Acrobat Reader, which can be downloaded free from the Adobe site.

Toggle navigation. Skip Navigation. Login Register. Have questions about health insurance? Explore our Insurance Basics pages. Need Insurance? Log In or Register. Insurance Basics. A PCP can be: a doctor, nurse practitioner, physician assistant, or even a care team through a virtual-first primary care practice like CloseKnit. There are two reliable ways to start your search: Talk to your friends and family —personal recommendations can give you a good sense of whether you would be comfortable with a particular PCP.

Otherwise, when it comes to receiving care, you have a choice: You can receive care from any doctor you would like to see.