Carefirst health benefits claim form 2026

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4.9 out of 5

43 votes

The document is a Health Benefits Claim Form for CareFirst BlueChoice, Inc. It provides detailed instructions for members to submit claims for health services, requiring separate forms for each family member and provider. The form includes sections for patient and subscriber information, insurance coverage details, accident-related questions, hospitalization status, and itemized charges being claimed. It emphasizes the importance of completing all items accurately to avoid processing delays and includes guidelines for attaching necessary documentation.

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Click ‘Get Form’ to open the carefirst health benefits claim form in the editor.
Begin by entering your Member ID# and Group Number or Enrollment Code in the designated fields. This information is crucial for identifying your account.
Fill in the Patient’s Name, Date of Birth, and Sex. Ensure accuracy as this information verifies the patient's identity.
Indicate the Patient’s Relationship to Subscriber (e.g., Employee, Spouse, Child) by selecting the appropriate option.
Complete the Subscriber’s Name and Daytime Telephone Number. If there is a new address, check the box provided.
Answer questions regarding other health insurance coverage and Medicare status. Provide details if applicable.
Detail any conditions related to accidents or hospitalizations, including dates and physician information if necessary.
List all charges being claimed along with itemized bills from providers. Attach these documents before submission.
Finally, ensure that you sign and date the form to authorize assignment of benefits; otherwise, it may be returned.

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Versions	Form popularity	Fillable & printable
2018	4.9 Satisfied (43 Votes)
2014	4.2 Satisfied (69 Votes)
2009	3.9 Satisfied (47 Votes)

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Got questions?

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

How long does it take for CareFirst to process a claim?

Almost 80% of claims are received within 30 days from the date of service. In some cases, it can take up to 60 days before your doctor or hospital submits a claim. How quickly we process the claim once its received. More than 90% of claims are processed within seven days of receiving them.

Is CareFirst Blue Cross Blue Shield the same as Anthem?

A medical claim is an invoice (or bill) that is submitted by your doctors office to your health insurance company after you receive care. Each claim has a list of unique codes that describe the care you received and help your health plan process and pay them faster.

How long does it take for Blue Cross to pay a claim?

Around 99 percent of all claims BlueCross receives are processed within 30 days. Its important to note that these are not arbitrary decisions. We compare the service you requested or received against these criteria: the details of your health plan, which you can find in your evidence of coverage

What is a claim form for health insurance?

Anthem is part of the Blue Cross Blue Shield group. Blue Cross Blue Shield is made up of independent companies. Anthem is one of these companies. Other Blue Cross Blue Shield brands include Highmark, Regence and CareFirst.

How long does it take for an insurance claim to go through?

The time taken by an insurance company to pay out a total loss claim varies based on several factors, including the complexity of the case and the completeness of the submitted documents. Generally, insurers aim to settle such claims within 7 to 10 days after receiving all necessary documentation.

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How long should an insurance claim take to process?

Auto Insurance Claim Response Requirements by State StateTimeline for Undisputed Claims Arizona 10 days to acknowledge receipt and 30 days to complete the claim Arkansas 15 days to acknowledge receipt and 45 days to complete the claim California 15 days to acknowledge receipt and 40 days to complete the claim47 more rows Mar 13, 2025

Carefirst health benefits claim form 2026

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How to use or fill out carefirst health benefits claim form with our platform

See more carefirst health benefits claim form versions

Complete this form in 5 minutes or less

Got questions?

How long does it take for CareFirst to process a claim?

Is CareFirst Blue Cross Blue Shield the same as Anthem?

How long does it take for Blue Cross to pay a claim?

What is a claim form for health insurance?

How long does it take for an insurance claim to go through?

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How long should an insurance claim take to process?

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