How to Submit a Superbill to CareFirst BlueCross BlueShield for Therapy Reimbursement

CareFirst Out-of-Network Process

CareFirst BlueCross BlueShield serves members primarily in Maryland, Washington D.C., and northern Virginia. OON mental health claims are submitted via the CareFirst member portal at carefirst.com or by mailing a CareFirst claim form with the attached superbill to the OON claims processing address. CareFirst's behavioral health benefits are administered in-house, so members should use CareFirst's behavioral health line for questions.

Common Denial Reasons

• ✗Provider is not licensed in Maryland, D.C., or Virginia — CareFirst only covers services in their region
• ✗Member has a CareFirst HMO plan with no OON mental health benefits
• ✗Superbill is missing the provider's state license number required by CareFirst
• ✗Claim filed outside CareFirst's 180-day timely filing window

Tips for Getting Reimbursed by CareFirst

• ✓CareFirst administers its own behavioral health benefits — call the behavioral health number on the back of the card
• ✓PPO BluePreferred members have the best OON mental health benefits within CareFirst's network
• ✓Include both your NPI and your state license number on every superbill submitted to CareFirst
• ✓CareFirst's online portal allows members to check OON benefit details before submitting a claim