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The document is a prior authorization request form for Xolair, a medication administered by CVS Caremark. It outlines the necessary information required for approval, including patient and physician details, diagnosis, treatment history, and specific criteria questions related to the patient's condition. The form emphasizes the importance of accurate diagnosis and documentation for medication coverage and provides contact information for inquiries and opt-out options regarding telemarketing faxes.

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Versions	Form popularity	Fillable & printable
2022	4.8 Satisfied (111 Votes)
2020	4.3 Satisfied (93 Votes)
2020	4.1 Satisfied (32 Votes)
2018	4.3 Satisfied (51 Votes)
2016	4.2 Satisfied (39 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Are CareFirst and BlueCross BlueShield the same?

In 1969, Maryland Hospital Service, Inc. (Blue Cross) and Maryland Medical Service (Blue Shield) changed their names to Maryland Blue Cross and Maryland Blue Shield. In 1998, the Maryland and District of Columbia companies merged to form CareFirst BlueCross BlueShield.

What is the other name for CareFirst insurance?

CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc. and CareFirst Advantage DSNP, Inc.

What is the new name for CareFirst?

Under its new name, Blue Shield of California Promise Health Plan, the company will continue to serve Medi-Cal and Medicare members in Los Angeles and San Diego counties.

Is CareFirst the same as Caremark?

* CVS Caremark is an independent company that provides pharmacy benefits to CareFirst members. Review our full list of resources that support you in your health journey and help you live a balanced life.

What is CareFirst provider number?

Please call CareFirst Provider Information and Credentialing at 410-872-3500 or 877-269-9593. You can also reach out to your local Blue plan.

How do I register for CareFirst provider portal?

To begin the registration process, visit provider.carefirst.com. Click on Create an Account. You will need your Tax Identification Number (TIN) and Billing National Provider Identifier (NPI) to register. Once you enter that information, click Next.

What is another name for Blue Cross Blue Shield?

Blue Cross Blue Shield Association, also known as BCBS, BCBSA, or The Blues, is a United Statesbased federation with 33 independent and locally operated BCBSA companies that provide health insurance to more than 115 million people in the U.S. as of 2022.

Web - CareFirst Provider 2025

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