DYP

BCBS Prefix DYP

Maryland/District of Columbia/Northern Virginia • HMO, POS, HDHP

Billing reference for prefix DYP

Provider phone: (800) 842-5975
Electronic payer ID: 00580
Verified Aug 2026 · source
3 exceptions — check before you submit
Depends on the claim type
SB690 — Maryland region professional and institutional claims
Other cases
75191 — CareFirst Administrators
45281 — specific product line per March 2024 update
Claims mailing address: P.O. Box 14115, Lexington, KY 40512-4115
Verified Aug 2026 · source
5 exceptions — check before you submit
Depends on the plan type
P.O. Box 14362, Lexington, KY 40512 — Community Health Plan Maryland (Medicaid) claims
P.O. Box 14113, Lexington, KY 40512-4113 — Federal Employee Program (FEP) claims
P.O. Box 4495, Scranton, PA 18505 — Medicare Advantage claims
P.O. Box 915, Owings Mills, MD 21117 — Medicare Advantage general correspondence
P.O. Box 14115, Lexington, KY 40512-4115 — Standard commercial / local service area professional claims
Timely filing limit: 365 daysCompare all plans
Verified Aug 2026 · source
1 exception — check before you submit
Depends on the product
365 days — CareFirst Dual Eligible Special Needs (DSNP) / Advantage Dual Prime
Prior authorization phone: (866) 773-2884
Provider website: https://provider.carefirst.com

Billing CareFirst BlueCross BlueShield from outside Maryland, District of Columbia or Northern Virginia?

Usually you do not send the claim to CareFirst BlueCross BlueShield. Under the BlueCard program, a provider treating a member from another Blue plan submits the claim to their own local Blue Cross Blue Shield plan, which then routes it to CareFirst BlueCross BlueShield for processing.

The payer ID and claims address above are for filing within Maryland, District of Columbia or Northern Virginia. Filing from elsewhere, use your local plan's details instead.
Prior authorizationis generally handled by the member's home plan — so CareFirst BlueCross BlueShield, wherever you are.
Your timely filing limit is set by your own contract with your local Blue plan, not by the figure above. 365 days is customary but contracts vary.
To check eligibility and benefits for an out-of-area Blue member, call 1-800-676-BLUE (1-800-676-2583).

Arrangements vary by contract, and self-funded (ASO) accounts can differ — confirm with your local Blue plan before filing. See the BlueCard Program Provider Manual for the full rules.

Coverage under prefix DYP

HMO

HMO (Health Maintenance Organization) plans require members to choose a primary care physician (PCP) and obtain referrals before seeing specialists. Out-of-network services are generally not covered except in emergencies. Claims must be submitted to the payer listed above and should include referral authorization when applicable.

POS

Under this POS prefix, the member can access care both in-network and out-of-network, with cost-sharing that varies based on how the care is accessed. In-network care coordinated through the member's PCP has the lowest out-of-pocket cost. Include referral documentation when billing at the in-network benefit level.

HDHP

This prefix is associated with a High-Deductible Health Plan. HDHP members pay more out-of-pocket before insurance coverage begins. These plans are commonly paired with HSA or HRA accounts. When billing, be aware that the member may have significant cost-sharing responsibility until their annual deductible is satisfied.