How to Correctly Enter Facility and Provider Information
Enter Facility Information
1. Choose “Select a Facility within my group” from the drop down box.
2. Select the appropriate Facility Name.
Enter Provider Information
1. Select the appropriate search method. There are three ways to search for a provider:
 Select a Provider within my group
 Select a provider not in my group
 Enter Provider Information
Note: Only use ‘Enter Provider Information’ as a last resort. Using this option causes the case to pend
for review.
2. Enter the Provider ID and/or Provider Name

Within the Provider ID Type search, you can search by NPI number or the provider’s CareFirst
Provider Number (PA&R).
PRV5069 (2/14)
CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc.
CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. are both independent licensees of the Blue Cross and Blue Shield Association.
®Registered trademark of the Blue Cross and Blue Shield Association. ®’Registered trademark of CareFirst of Maryland, Inc.

Within the Name Type search, you can search by Practice Name or Practitioner Last Name.
Select the Provider
1. Review the system-generated list of providers that match your search criteria. Note that ‘No Match’
means the provider’s network affiliation does not match the member’s contract type.
2. Select the radio button next to the appropriate provider.
Example:
In this example, the Facility Information and Provider Information are correctly loaded into the request.