Page 70 - R2P Front Desk Manual v1

How to Verify CareFirst/BCBS

To obtain full benefits, you MUST call Provider Services and speak to a representative.
Using the online portal will provide an overview of the benefits, but it may be missing vital
information.

If you are unsure of the phone number to call, 800-ASK-BLUE (800-275-2583) will ask you to
speak the first 3 letters of the plan and then will transfer you appropriately.

To use the automated voice response system:
1. Enter our CareFirst Participating Provider # (BE71), Tax ID #, or billing NPI #
2. Say “Benefits” or press the number 2
3. Enter the patient’s member ID # and date of birth
4. Enter the last 4 digits of our 8-digit Carefirst Provider Number (BE710000)
5. Choose the type of benefits (In-Network [or Preferred Provider for Federal plans])
6. Say or enter the 3-digit benefit code (500)
7. Choose to hear the information, have it faxed, or both
8. Choose the place of service (Office / out-patient)
a. Note: We bill as a Specialist in the Office. If asked whether we bill as a facility or
professional, we bill as professional.
9. Listen through Eligibility (1), Benefits (2), and Deductible & Maximums to obtain as much
information as possible before saying “Representative” to be connected with a
representative.

Reminder! Any correspondence with insurance representatives must be detailed as a Chart
Note in the patient’s WebPT chart and should include the representative’s name and a call
reference number.

Federal BCBS plans will be the only time when it is not necessary to speak with a
representative, as all information is outlined in the automated information and via the online
portal.
● Note: For BCBS Federal plans, R2P collects the Basic/Standard PRIMARY CARE
PROVIDER copay amount (NOT the Specialist copay).

To view an outline of benefits using the online portal, go to Carefirst Online Portal for providers.

Last Update: 7/9/19