FormsMember ServicesFAQs




SAMBA Home > Member Services


How to File a Medical Claim:

If you live in: Delaware, the District of Columbia, Maryland, or Virginia:

CareFirst Blue Cross Blue Shield is your PPO provider. Participating providers should file claims for you to the appropriate Blue Cross Blue Shield service carrier.

Call 1-800-810-BLUE to locate a participating provider.

Services by non-participating providers should be mailed to:

              CareFirst Blue Cross Blue Shield
              P. O. Box 804
              Owings Mills, Maryland 21117-9998

Overseas claims should include an English translation. Charges should be converted to U.S. dollars using the exchange rate applicable to the date of service. Send itemized bills for overseas services to the CareFirst address above.

Click here to download a claim form (non-participating providers only).

Questions? Call a SAMBA Member Services representative at 1-800-258-7663 or 301-984-1440 (for TDD, use 301-984-4155).

 

If you live anywhere other than Delaware, the District of Columbia, Maryland, or Virginia:

First Health is your PPO provider. In most cases, physicians and facilities will file claims for you. Your physician must file on the form HCFA-1500; hospitals must use the form UB-92.

All claims should be mailed to:

              SAMBA Plans
              P. O. Box 8600
              London, KY 40742



Overseas claims should include an English translation. Charges should be converted to U.S. dollars using the exchange rate applicable to the date of service.

Click here to download a claim form.

Questions? Call a SAMBA Member Services representative at 1-800-638-6589 or 301-984-1440 (for TDD, use 301-984-4155).

Home | About SAMBA | Eligibility | Forms | Member Services | Archives | Contact Us | Links | Site Map | FAQs
Web Privacy Statement | HIPAA Notice of Privacy Practices | Terms and Conditions

BENEFIT PLANS:
Health | Life | Disability | Dental/Vision | Dependent Children | Legal/Financial | Long Term Care