CommercialAdministrativeMedium impact
Review the Latest Updates to Our Professional Provider Manual
CareFirst BlueCross BlueShield·Provider News
Effective date
Jul 1, 2019
We identified it
Jun 20, 2026
Summary
CareFirst updated their Professional Provider Manual with multiple billing changes including new reimbursement details for limited licensed providers (PAs, anesthesia assistants, behavior analysts), updated claims overpayment procedures, addition of procedure code 87651 to specialists/PCPs list, and inclusion of CPT 99051 in Special Services section.
Action Required
Immediately: Billing team should download and review the updated Professional Provider Manual at carefirst.com/professionalmanual. Update billing procedures to include CPT 87651 for specialists and PCPs (effective 7/1/19) and CPT 99051 for special services. Review new reimbursement guidelines for PAs, anesthesia assistants, behavior analysts, and lactation consultants to ensure proper billing.