ICA

BCBS Prefix ICA

CareFirst BlueCross BlueShield

Maryland/District of Columbia/Northern Virginia • EPO, High-Deductible Health Plan (HDHP), Medicaid

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

Coverage under prefix ICA

EPO

This is an Exclusive Provider Organization (EPO) prefix. EPO plans do not cover out-of-network care except in genuine emergencies. Members can see any in-network specialist without a referral from their primary care physician. Claims for out-of-network non-emergency services will be denied.

HDHP

Under this HDHP prefix, the member's plan has a higher deductible than traditional coverage. This affects patient cost-sharing but does not change how claims are submitted or processed. Use the same payer ID, claims address, and filing procedures listed above. Verify the member's remaining deductible before estimating patient responsibility.

Medicaid

Medicaid managed care under this BCBS prefix means the state has contracted with this plan to administer Medicaid benefits. Balance billing Medicaid members is prohibited. Timely filing requirements may follow state Medicaid rules rather than the plan's commercial deadlines. Contact the plan to confirm submission requirements.

About CareFirst BlueCross BlueShield

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