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Forms

Finding Your Health Plan

The following suggestions will assist you in determining which health plan you belong to:


Appeals

Request for Appeal - CareFirst Members who are Virginia Residents

If you are a Virginia resident with CareFirst health care coverage, and you wish to file an external appeal for a denied claim, you may do so with the Commonwealth of Virginia.

To access appeals forms, you may visit their website or use the Virginia request for external claim forms below:

Virginia External Review Request Form (doc)
Virginia External Review Request Form (pdf)