Carefirst member communications

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Phone Website cosmicexpress. You can check the status of your recent claims here. They contain the same information as your paper EOB but are generated electronically to view on a computer or mobile device.

The document number is a unique identifier that is generated for each eEOB so that it can be easily referenced and searchable online. You need to verify your email address and opt in to receive electronic forms of communication, e-EOB notifications.

Double-check your preferences by logging into My Account. Sometimes an email from a new sender will automatically go to your spam or junk mail folder.

To avoid this, add CareFirst to your address book or safe senders list. Under certain circumstances, your claims statement summary graph may not display all three types of charges i. Here are some examples of when that might happen:. You saw an in-network provider and CareFirst is covering your total cost. Your claim was processed as out-of-network and you are liable for the entire bill. Depending on your health plan, CareFirst may reimburse you for part or all of the charge.

Whenever you receive care from an in-network healthcare provider, they fill out an insurance claim form and submit it to CareFirst. Providers have up to one year to submit a claim after the date of service. Claims are entered into our system and processed according to your benefits.

It takes CareFirst about 30 days to process new claims. How long will it take to process this claim? Any time you receive care outside this area, your claim will take additional time to process. My claim was denied by CareFirst. What are the next steps to investigate a claim? If an insurance claim is denied for any reason, you may ask CareFirst to review it. For a step-by-step guide to the appeal process, visit our Appeal a Claim page. Various state and federal laws dictate who can see what information, regardless of relation.

In most cases:. The allowed amount or allowed charge is the maximum amount your insurance plan will pay for a single covered healthcare service. Healthcare providers working in our network are subject to limits that they can charge for care, as determined by CareFirst. Out-of-network providers may charge more for their services. If you see an out-of-network provider, you may be responsible to pay the difference between their price and the CareFirst allowed amount. Your benefits are the services covered by your plan.

Depending on the plan you have, your benefits may cover the entire amount charged for the service s or a partial amount. A claim is an official document that details what kind of care you received so that CareFirst can pay your medical provider. A claim will include details about your care including relevant procedures, exams, prescriptions, etc.

CareFirst processes claims based on your benefits. The EOB shows how your benefits were applied and what you may owe your provider. Depending on when claims are submitted, your EOBs may include details for multiple claims. Usually, there is more than one kind of service covered by a copay.