BCBS Prefix Lookup

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DTL

BCBS Prefix DTL

CareFirst BlueCross BlueShield

Maryland/District of Columbia/Northern Virginia • PPO, EPO, HSA

Billing essentials

Provider phone: (800) 842-5975
Electronic payer ID: 580
Claims mailing address: 10455 Mill Run Circle, P.O. Box 825, Owings Mills, MD 21117
Timely filing limit: 180 daysCompare all plans
Prior authorization phone: (866) 773-2884
Provider website: https://provider.carefirst.com

Coverage under prefix DTL

PPO

PPO coverage under this prefix means the member can access any provider. In-network providers have negotiated rates with the plan, while out-of-network providers are reimbursed based on usual and customary charges. Prior authorization is generally not required for routine services but may be needed for high-cost procedures.

EPO

This prefix is associated with an EPO plan. Exclusive Provider Organization coverage combines elements of HMO and PPO plans: members must stay in-network like an HMO, but can self-refer to specialists like a PPO. Out-of-network services are not covered except for emergencies.

About CareFirst BlueCross BlueShield

Independent licensee of the Blue Cross Blue Shield Association serving Maryland, District of Columbia and Northern Virginia.

Other prefixes for CareFirst BlueCross BlueShield

High-Deductible Health Plan (HDHP), EPO, POS

High-Deductible Health Plan (HDHP), PPO, Medicare Advantage

Medicaid, High-Deductible Health Plan (HDHP), POS

Traditional Indemnity, EPO, Medicaid

Medicaid, PPO, Medicare Advantage

Traditional Indemnity, POS, High-Deductible Health Plan (HDHP)

Medicare Advantage, EPO, Traditional Indemnity

POS, High-Deductible Health Plan (HDHP), PPO

Traditional Indemnity, EPO, High-Deductible Health Plan (HDHP)

High-Deductible Health Plan (HDHP), EPO, PPO

PPO, Medicaid, Traditional Indemnity

High-Deductible Health Plan (HDHP), EPO, POS

POS, Medicare Advantage, HMO

Traditional Indemnity, EPO, High-Deductible Health Plan (HDHP)

HMO, Traditional Indemnity, POS

High-Deductible Health Plan (HDHP), Medicare Advantage, Traditional Indemnity

POS, HMO, High-Deductible Health Plan (HDHP)

Medicaid, POS, HMO

HMO, Medicaid, Traditional Indemnity

High-Deductible Health Plan (HDHP), PPO, EPO

POS, Medicare Advantage, HMO

Traditional Indemnity, High-Deductible Health Plan (HDHP), Medicaid

POS, EPO, Medicaid

Traditional Indemnity, PPO, High-Deductible Health Plan (HDHP)

Medicaid, EPO, Traditional Indemnity

POS, HMO, Medicaid

Medicare Advantage, PPO, POS

Medicaid, HMO, EPO

EPO, Medicaid, High-Deductible Health Plan (HDHP)

HMO, Medicaid, Traditional Indemnity

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