CommercialAdministrativeMedium impact
CareFirst Updates HIPAA Verification for Member Security for Provider Service
CareFirst BlueCross BlueShield·Provider News
Effective date
Jul 22, 2022
We identified it
Jun 20, 2026
Summary
CareFirst now requires providers to provide the patient's full name plus three additional pieces of identifying information when calling Provider Service for HIPAA verification purposes. This affects all phone interactions with CareFirst Provider Service.
Action Required
Immediately: Front desk and billing staff must gather patient's full name plus three of the following before calling CareFirst Provider Service: date of birth, address, zip code, patient ID number, or phone number. Update staff training and create quick reference cards with required information list.