BlueCross BlueShield Preferred $1,600, an MSP Claim Forms

If you need a form that is currently not available online, please call Member Services at the telephone number on your ID card.

Medical Claim (MD, DC and Northern VA)
For services received in the MD, DC and Northern Virginia CareFirst service area.
Medical Claim (Other Service Areas)
For services received in areas other than the MD, DC and Northern Virginia
CareFirst service area.
International Claim Form
(For care received out of network area)
Transition of Care