CareFirst BlueCross BlueShield
Maryland/District of Columbia/Northern Virginia • HMO, POS Health Plans
This is a Health Maintenance Organization (HMO) prefix. HMO plans have stricter routing requirements than PPO plans. Members select a PCP who manages their care and issues referrals. Claims for specialist services should include the referral number. Out-of-network claims will typically be denied unless emergency criteria are met.
Independent licensee of the Blue Cross Blue Shield Association serving Maryland, District of Columbia and Northern Virginia.