CommercialAdministrativeMedium impact
Changes in Billing and Notification Procedures for Institutional Providers
CareFirst BlueCross BlueShield·OB-GYN·Reimbursement
Effective date
Aug 1, 2025
We identified it
Jun 20, 2026
Summary
CareFirst BlueCross BlueShield has updated their Mother and Baby Claims Billing Guide with new billing procedures and notification requirements for institutional providers. These changes align with Federal Employee Health Benefit Program requirements and affect how providers bill charges for mothers and babies in various scenarios.
Action Required
Before August 1, 2025: Billing team must review the updated Mother and Baby Claims Billing Guide in CareFirst's Medical Provider Manual online. Update billing procedures and notification processes for mother and baby claims according to the new Federal Employee Health Benefit Program requirements. Ensure staff understands new billing scenarios for institutional providers handling maternity and newborn services.