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Medicare AdvantageAdministrativeMedium impact

Get Ready to See New CareFirst Medicare Advantage Members

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

Summary

CareFirst BlueCross BlueShield is launching new Medicare Advantage HMO plans (Advantage Core and Advantage Enhanced) effective January 1, 2021. Healthcare providers will begin seeing these new Medicare Advantage members and need to understand the authorization, referral, and claims submission processes for these plans.

Action Required

Action needed
By December 8, 2020: Administrative staff must register for and attend virtual training webinars to learn about CareFirst Medicare Advantage authorization, referral, and claims processes. Access the Provider Portal at provider.carefirst.com for updated Medicare Advantage forms and resources by January 1, 2021. Contact Provider Relations Representative for ongoing support using contact information at carefirst.com/providerrep.