Carefirst +.

V
Family of health care plans

CareFirst Third Party Administrator (TPA)/Network Lease Accounts Only

CareFirst contracts with Third Party Administrators to the Network claims product. Please send all correspondence and non-claim inquiries to
the TPA addresses below. Please submit claims electronically using EDI Payer Codes: Professional – 580, Facility – 190.

Prefix Group Name TPA Name & Address Claims Filing Claims & Benefit Phone Filing Limit Electronic Payer
Group Address Contact Name Number ID Number

PO Box
NCAS
NCAS MULTIPLE 981610 Customer
A11 PO Box 981610 Customer Service 800-888-6227 Prof. 580/Inst. 190
GROUPS El Paso, TX Service
El Paso, TX 79998
79998-1633
Group Benefit Group Benefit Services P.O. Box
A12 Services 6 North Park Dr. 981633
Customer Service 410-832-1300 Call TPA Prof. 580/Inst. 190
A121 Delta Chemical Suite 310 El Paso, TX
Group Hunt Valley, MD 21030 79998-1633
Employee
Security/NEA Employee Securities P.O. Box
A17 10400 Little Patuxent Pkwy. 981633
Customer Service 410-997-3300 Call TPA Prof. 580/Inst. 190
SM62 Timonium Toyota Suite 260 El Paso, TX
NEA’s, Tenax, Columbia, MD 21044-3518 79998-1633
Atlantic Builders
Benefits Administration
P.O. Box
Corporation, Inc. (BACI)
A22 Maryland Electrical 981633 410-444-8516
9411 Philadelphia RD. Customer Service Call TPA Prof. 580/Inst. 190
2003 Health Fund El Paso, TX 800-352-2741
Suite S
79998-1633
Baltimore, MD 21237
UFCW National Health and P.O. Box
WEPCO Federal
A23 Welfare Fund 981633
Credit Union UFCW Customer Service 888-773-8329 Call TPA Prof. 580/Inst. 190
W33P 66 Grand Ave. El Paso, TX
Local 27
Englewood, NJ 07631 79998-1633
Prefix Group Name TPA Name & Address Claims Filing Claims & Benefit Phone Filing Limit Electronic Payer
Group Address Contact Name Number ID Number

P.O. Box
UFCW Local 27
A25 Sterling Care 981633
66 Grand Ave. Customer Service 888-773-8329 Call TPA Prof. 580/Inst. 190
W33F Frostburg Village El Paso, TX
Englewood, NJ 07631
79998-1633
P.O. Box
Frostburg Village UFCW Local 27
A26 981633
Assisted Living 66 Grand Ave. Customer Service 888-773-8329 Call TPA Prof. 580/Inst. 190
W33G El Paso, TX
Englewood, NJ 07631
79998-1633
Seagram’s – UFCW UFCW National Fund – P.O. Box
A36 Fund Contributing Employer Groups 981633
Customer Service 888-773-8329 Call TPA Prof. 580/Inst. 190
L026 Social Security 66 Grand Ave. El Paso, TX
Fund/UFCW Englewood, NJ 07631 79998-1633
Construction BeneSys, Inc. P.O. Box
A38 Workers Trust 7130 Columbia Gateway Dr. 981633
Customer Service 410-884-1406 Call TPA Prof. 580/Inst. 190
W31A Suite A El Paso, TX
Columbia, MD 21046 79998-1633
Benefits Administration
Plumbers & P.O. Box
A39 Corporation, Inc. (BACI)
Steamfitters Local 981633 410-254-4800
486W 9411 Philadelphia RD. Customer Service Call TPA Prof. 580/Inst. 190
486 El Paso, TX 855-505-0462
W31B Suite S
79998-1633
Baltimore, MD 21237
Benefits Administration
Teamsters Local P.O. Box
Corporation, Inc. (BACI)
A42 #355 981633 443-573-3632
9411 Philadelphia RD. Customer Service Call TPA Prof. 580/Inst. 190
W31F Truck Drivers & El Paso, TX 866-621-7974
Suite S
Helpers 79998-1633
Baltimore, MD 21237
International
Benefits Administration
Alliance of P.O. Box
Corporation, Inc. (BACI)
A47 Theatrical Stage 981633 410-319-7264
9411 Philadelphia RD. Customer Service Call TPA Prof. 580/Inst. 190
W31R Employees Local 22 El Paso, TX 800-941-2752
Suite S
Pension & Welfare 79998-1633
Baltimore, MD 21237
Fund (IATSE)
Prefix Group Name TPA Name & Address Claims Filing Claims & Benefit Phone Filing Limit Electronic Payer
Group Address Contact Name Number ID Number

Benefits Administration
P.O. Box
Corporation, Inc. (BACI)
A48 Sheet Metal 981633 443-573-3635
9411 Philadelphia RD. Customer Service Call TPA Prof. 580/Inst. 190
W29F Workers Local 100 El Paso, TX 888-805-7996
Suite S
79998-1633
Baltimore, MD 21237
Teamsters #570 Health Fund P.O. Box
A49 Teamsters #570 1005 North Point Blvd. 981633
Customer Service 410-282-0510 Call TPA Prof. 580/Inst. 190
W29J Health Fund Suite 726 El Paso, TX
Baltimore, MD 21224 79998-1633
Decision Sciences P.O. Box
A52 Operating 3615 North Point Blvd. 981633
Customer Service 410-254-9595 Call TPA Prof. 580/Inst. 190
W29L Engineers Local 99 Suite C El Paso, TX
Baltimore, MD 21222 79998-1633
Decision Sciences P.O. Box
A54 Operating 3615 North Point Blvd. 981633
Customer Service 410-254-9595 Call TPA Prof. 580/Inst. 190
W29M Engineers Local 37 Suite C El Paso, TX
Baltimore, MD 21222 79998-1633
Asbestos Workers BeneSys, Inc. P.O. Box
A55 Local 24 Medical 7130 Columbia Gateway Dr. 981633
Customer Service 410-872-9500 Call TPA Prof. 580/Inst. 190
W29N Fund Suite A El Paso, TX
(Eff. 9/1/21) Columbia, MD 21046 79998-1633
United Food & Commercial
UFCW &
Workers (UFCW Health & P.O. Box
Participating Food
A56 Welfare 981633
Industry Employers Customer Service 800-228-7484 Call TPA Prof. 580/Inst. 190
W29P 27 Roland Ave. El Paso, TX
Tri-State Health &
Suite 100 79998-1633
Welfare Fund
Mt Laurel, NJ 08054
Zenith American Solutions
P.O. Box
3 Gateway Center
A58 Bricklayers & Allied 981633
401 Liberty Ave. Customer Service 410-828-5282 Call TPA Prof. 580/Inst. 190
W31W Craftsmen El Paso, TX
Suite 1200
79998-1633
Pittsburgh, PA 15222-1024
Prefix Group Name TPA Name & Address Claims Filing Claims & Benefit Phone Filing Limit Electronic Payer
Group Address Contact Name Number ID Number

P.O. Box
Associated Administrators
A59 981633
FELRA 911 Ridgebrook RD. Customer Service 800-638-2972 Call TPA Prof. 580/Inst. 190
W31Y El Paso, TX
Sparks, MD 21152-9451
79998-1633
Zenith American Solutions
P.O. Box
3 Gateway Center
A62 Beverage Worker’s 981633
401 Liberty Ave. Customer Service 800-242-8923 Call TPA Prof. 580/Inst. 190
W32A Local 67 El Paso, TX
Suite 1200
79998-1633
Pittsburgh, PA 15222-1024
Zenith American Solutions
P.O. Box
3 Gateway Center
A63 Iron Workers Local 981633
401 Liberty Ave. Customer Service 800-242-8923 Call TPA Prof. 580/Inst. 190
W32B #5 El Paso, TX
Suite 1200
79998-1633
Pittsburgh, PA 15222-1024
P.O. Box
Associated Administrators
A64 Operating 981633
911 Ridgebrook RD. Customer Service 877-850-0977 Call TPA Prof. 580/Inst. 190
W32C Engineer’s Local 77 El Paso, TX
Sparks, MD 21152-9451
79998-1633

BeneSys, Inc. P.O. Box

A65 Plumbers & 7130 Columbia Gateway Dr. 981633 410-872-9500
Customer Service Call TPA Prof. 580/Inst. 190
W32D Pipefitters Local # 5 Suite A El Paso, TX 800-741-9249
Columbia, MD 21046 79998-1633

Benefits Administration
P.O. Box
Corporation, Inc. (BACI)
A66 Heating Piping & 981633 410-444-3756
9411 Philadelphia RD. Customer Service Call TPA Prof. 580/Inst. 190
W32E Refrigeration El Paso, TX 800-618-2879
Suite S
79998-1633
Baltimore, MD 21237
Prefix Group Name TPA Name & Address Claims Filing Claims & Benefit Phone Filing Limit Electronic Payer
Group Address Contact Name Number ID Number

Zenith American Solutions

P.O. Box
3 Gateway Center
A67 981633 412-471-2885
Rodman Local 201 401 Liberty Ave. Customer Service Call TPA Prof. 580/Inst. 190
W32F El Paso, TX 800-242-8923
Suite 1200
79998-1633
Pittsburgh, PA 15222-1024
BeneSys, Inc. P.O. Box
A68 Washington D.C. 7130 Columbia Gateway Dr. 981633
Customer Service 410-872-9500 Call TPA Prof. 580/Inst. 190
W32G Cement Masons Suite A El Paso, TX
Columbia, MD 21046 79998-1633
BeneSys, Inc. P.O. Box
A70 Stone and Marble 7130 Columbia Gateway Dr. 981633
Customer Service 410-872-9500 Call TPA Prof. 580/Inst. 190
W32J Masons Suite A El Paso, TX
Columbia, MD 21046 79998-1633
BeneSys, Inc. P.O. Box
A71 7130 Columbia Gateway Dr. 981633
Man-U-Service Customer Service 410-872-9500 Call TPA Prof. 580/Inst. 190
W32K Suite A El Paso, TX
Columbia, MD 21046 79998-1633
BeneSys, Inc. P.O. Box
Washington
A73 7130 Columbia Gateway Dr. 981633
Wholesalers Health Customer Service 410-872-9500 Call TPA Prof. 580/Inst. 190
W32M Suite A El Paso, TX
and Welfare Fund
Columbia, MD 21046 79998-1633
P.O. Box
Hagerstown Zenith American Solutions
A74 981633
Teamsters 10312 Remington Drive Customer Service 301-733-2602 Call TPA Prof. 580/Inst. 190
W32N El Paso, TX
Effective 9/1/2020 Hagerstown, MD 21740
79998-1633
BeneSys, Inc. P.O. Box
A75 7130 Columbia Gateway Dr. 981633
DC Pavers Customer Service 410-872-9500 Call TPA Prof. 580/Inst. 190
W32P Suite A El Paso, TX
Columbia, MD 21046 79998-1633
Prefix Group Name TPA Name & Address Claims Filing Claims & Benefit Phone Filing Limit Electronic Payer
Group Address Contact Name Number ID Number

UFCW Unions &

P.O. Box
Participation Associated Administrators
A77 981633
Employers Health & 911 Ridgebrook RD. Customer Service 800-638-2972 Call TPA Prof. 580/Inst. 190
W32R El Paso, TX
Welfare Fund Sparks, MD 21152-9451
79998-1633
(NONFOOD)

Sheppard Pratt
A80 PO Box
Allegeant
SHPS 981801
Upper Chesapeake PO Box 981801 Customer Service 800-553-8635 Call TPA Prof. 580/Inst. 190
UCH El Paso, TX
El Paso, TX 79998
AOC 79998
Ascend One

Zenith American Solutions

P.O. Box
District Council # 3 Gateway Center
A81 981633
51 Health Fund 401 Liberty Ave. Customer Service 800-242-8923 Call TPA Prof. 580/Inst. 190
W32W El Paso, TX
Suite 1200
79998-1633
Pittsburgh, PA 15222-1024
UFCW National Fund –
P.O. Box
Sun Products
A87 International 981633
Corporation Retirees Customer Service 888-773-8329 Call TPA Prof. 580/Inst. 190
W33D Chemical El Paso, TX
66 Grand Ave.
79998-1633
Englewood, NJ 07631
P.O. Box
Associated Associated Administrators
A94 981633
Administrators – 911 Ridgebrook RD. Customer Service 800-638-2972 Call TPA Prof. 580/Inst. 190
W33K El Paso, TX
Employee Group Sparks, MD 21152-9451
79998-1633
United Food & Commercial
Workers (UFCW Health & P.O. Box
A95 Welfare 981633
UFCW Customer Service 800-228-7484 Call TPA Prof. 580/Inst. 190
W33E 27 Roland Ave. El Paso, TX
Suite 100 79998-1633
Mt Laurel, NJ 08054
 Prefix Group Name TPA Name & Address Claims Filing Claims & Benefit Phone Filing Limit Electronic Payer
Group Address Contact Name Number ID Number

Benefits Administration
Transport Workers P.O. Box
Corporation, Inc. (BACI)
A96 Union Health and 981633 410-444-0659
9411 Philadelphia RD. Customer Service Call TPA Prof. 580/Inst. 190
W33L Welfare Plan El Paso, TX 800-618-2879
Suite S
79998-1633
Baltimore, MD 21237
BeneSys, Inc. P.O. Box
Teamsters Local
A97 7130 Columbia Gateway Dr. 981633
922 Health Trust Customer Service 410-872-9500 Call TPA Prof. 580/Inst. 190
W33M Suite A El Paso, TX
Columbia, MD 21046 79998-1633
Bakery and Sales Benefits Administration
P.O. Box
Drivers Local 33 Corporation, Inc. (BACI)
A98 981633 410-444-3750
Industry Welfare 9411 Philadelphia RD. Customer Service Call TPA Prof. 580/Inst. 190
W33N El Paso, TX 800-922.0602
Fund Suite S
79998-1633
Baltimore, MD 21237

PRD1065 (9/21)
CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the business name of CareFirst Advantage, Inc. CareFirst BlueCross
BlueShield Community Health Plan District of Columbia is the business name of Trusted Health Plan (District of Columbia), Inc. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. In Virginia, CareFirst MedPlus is the business
name of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., Trusted Health Plan (District of Columbia), Inc., CareFirst BlueChoice, Inc., First Care, Inc., and The
Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. BLUE CROSS®, BLUE SHIELD® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue
Cross and Blue Shield Plans