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Medicare AdvantageAdministrativeMedium impact

CareFirst Adds Medicare Advantage to the Medical Provider Manual

CareFirst BlueCross BlueShield·Provider News
Effective date
Jan 1, 2021
We identified it
Jun 20, 2026
Days to comply

Summary

CareFirst BlueCross BlueShield has added a new Medicare Advantage chapter to their Medical Provider Manual with information on products, provider responsibilities, and claims submission. Additionally, they updated Chapter 4 regarding office injectable drug reimbursement methodology effective December 1.

Action Required

Action needed
Before January 1, 2021: Billing team and providers must complete Medicare Advantage training by registering at carefirst.com/cpet and clicking on Webinars & Seminars. Review the new Medicare Advantage chapter at carefirst.com/providermanual for updated provider responsibilities and claims submission requirements. Also review updated Chapter 4 for changes to office injectable drug reimbursement methodology effective December 1.