Carefirst Bluecross Blueshield Owings Mills Resource Guide for Members

As a CareFirst BlueCross BlueShield member, you have access to a wide range of resources to help you navigate the healthcare system and get the most out of your coverage.

The Owings Mills service area is home to a number of network providers, including primary care physicians and specialists.

You can find a provider near you by visiting the CareFirst website and using the provider search tool.

Suggestion: Carefirst Ceo

If you're a CareFirst BlueCross BlueShield member in Owings Mills, you have the right to request a coverage decision if you're denied coverage for a requested item or service. You can also appeal the decision and ask for reconsideration.

You have the right to file a grievance, also known as a complaint, about the health plan. This can be done in addition to appealing a coverage decision.

To file an expedited appeal, call Member Services at 833-939-4103 or submit a written request. You can also fax your request to 410-605-2566 for clinical pre-service expedited appeals.

Curious to learn more? Check out: Does Full Coverage Insurance Cover Medical Bills

If you need a decision within 72 hours, you can ask for an expedited appeal. This is especially helpful if waiting for a decision could seriously harm your health.

You can file a standard pre-service appeal within 60 calendar days of the initial determination notice. This timeframe can be extended if you have good cause.

To file a standard pre-service appeal, submit a written request to CareFirst BlueCross BlueShield Medicare Advantage, Clinical Appeals and Analysis, 10455 Mill Run Circle, Room 11113-A, Owings Mills, MD 21117.

A coverage decision is any decision made by the plan regarding receipt of, payment for, or limits on items or services. This includes decisions about the amount you pay for an item or service.

You can request a coverage decision by mail or by contacting Member Services. To request a coverage decision regarding medical care you or your representative may:

To request a coverage decision regarding payment for medical care you already received, mail a request to CareFirst BlueCross BlueShield Medicare Advantage Claims, P.O. Box 4495, Scranton, PA 18505.

If you meet certain requirements, you can request an expedited coverage decision, also known as a "fast coverage decision." This means we will make a decision no later than 72 hours after receiving your request.

To get a "fast coverage decision", you must meet both of the following requirements:

Carefirst Bluecross Blueshield Owings Mills offers various jobs in the health insurance industry. As a large employer, they have a range of positions available, from sales and customer service to IT and administrative roles.

Their claims process is designed to be efficient and user-friendly. Members can submit claims online, by mail, or through the mobile app, and receive updates on the status of their claims.

Carefirst Bluecross Blueshield Owings Mills has a reputation for being a fair and transparent employer, with many employees praising the company culture and benefits package.

Expand your knowledge: Simple Mills Crackers

Owings Mills is a great place to find work, with a diverse range of job opportunities available.

The area is home to several major employers, including MedStar Health and T. Rowe Price, which offer a variety of jobs in healthcare and finance.

Some of the most in-demand jobs in Owings Mills include software engineers, data analysts, and marketing specialists.

These professionals are in high demand due to the area's strong presence of tech and finance companies.

The median household income in Owings Mills is around $83,000, which is higher than the national average.

Many residents in the area commute to work, with a significant number working in nearby Baltimore and Washington D.C.

Explore further: Forman Mills Open

To submit medical claims, providers can get additional information by calling 800-282-4548 or visiting the website at https://www.availity.com/essentials/.

Paper claims should be submitted to CareFirst BlueCross BlueShield Medicare Advantage at PO Box 915 Owings Mills, MD 21117 for reimbursement.

For behavioral health claims, providers should submit them to CareFirst BlueCross BlueShield Medicare Advantage c/o Carelon Behavioral Health at P.O. Box 1850, Hicksville, NY 11802-1850.

Part D drug claims should be submitted to CareFirst BlueCross BlueShield Medicare Advantage c/o CVS Caremark at P.O. Box 52066, Phoenix, AZ 85072-2066.

Expand your knowledge: Does Medicare Supplement Cover Home Health Care