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Odom brings 25 years of experience in strategic diversity planning and leadership to this critical role. Before joining CareFirst, Odom served as the first Chief Diversity Officer for the Federal Bureau of Investigation FBI , leveraging data and statistics, collaboration and accountability to elevate diversity to a mission-critical core value.

In her year tenure with the FBI, she served as its leading advocate for diversity and inclusion. Her most recent role was Chief EEO Officer, where she was principal advisor to the FBI Director, Deputy Director and other key executives on all aspects of equity, accessibility and equal employment opportunity.

Throughout her time with the FBI, she helped to expand how diversity was viewed — from thinking about ethnic and racial diversity to diversity in terms of gender, sexual orientation, ability and other dimensions. December 8, November 15, Primary Care Collaborative. Executive Member Since:. September Related Content. February 12, - Event. Carefirst: A Partner in Health. June 27, - News. June 27, - Event. April 6, - News. May 17, - News. Doctors are a naturally competitive bunch. CareFirst has tapped into that to tackle health costs.

April 11, - News.

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If you have concerns regarding a decision that adversely affect coverage, such as a denial, a reduction of benefits, or a denial of authorization for services, you may call the Member Services telephone number on the back of your member ID card.

A representative can assist you with resolving the issue or initiating the appeal process. If needed, language interpretation is available. If you would like to review the procedure for filing an appeal, visit carefirst. For a printed copy, call Member Services at the telephone number on the back of your member ID card. In addition, many members have a right to an independent external review of any final appeal or grievance decision.

Refer to your Evidence of Coverage for more specific information regarding initiating an external review, a final appeal determination or a complaint. If you need language assistance or have questions, call the Member Services telephone number on the back of your member ID card. Get a Quote. Skip Navigation. Login Register. Have questions about health insurance? Explore our Insurance Basics pages.

Need Insurance? Log In or Register. We know healthcare can be complicated. To learn more, choose a topic from the list below. Expand All Collapse All Covered benefits. All of our plans include core health benefits, including: Office visits Maternity and newborn care Prescription drugs Laboratory tests and X-rays Preventive and wellness care Dental and vision for children under age 19 Emergency services Hospitalization Behavioral health and substance use disorder Physical, speech and occupational therapy.

Common non-covered benefits. Finding a primary care provider. Finding a specialist, behavioral health or hospital resource. After office hours or emergency care. Out-of-area care and benefit coverage. How to submit a claim. You can submit your claim one of two ways: Mail your claim form To print and mail your claim form, log in to My Account, select the My Documents tab, choose Forms.

Choose the form for your type of claim and fill in the required information. Then, mail the form using the directions included. If you do not have internet access, you may request a paper claim form by calling Member Services at the telephone number on the back of your member ID card.

Submit your claim form online CareFirst also offers online claims submission for medical, dental and behavioral health claims. From your computer or mobile device, log in to My Account and select Claims. Enter the requested information, upload the required documents and submit. Understanding the review process. The medical review process includes, but is not limited to: Preservice review The preservice review serves as a check to assure that members receive the right service in the right setting at the right time.

Requests for review include high-cost, complex inpatient, experimental, cosmetic, and outpatient services. The preservice review also helps ensure services are provided by in-network providers.

Your doctor must initiate your authorization request. All admissions are reviewed and categorized by severity level. The urgent review process continues until the member is approved to go home. Concurrent review decisions are made within 24 hours. Post-service review Members may be eligible for a post-service review. CareFirst collaborates with facility administrators, medical clinicians and members to determine needs based on medical criteria and member benefits.

Decisions must be made within 30 calendar days of the initial request. Pharmacy procedures. Generics are dispensed when available unless your provider determines that a brand-name drug is necessary for your overall health. There may be cost-sharing implications for choosing non-preferred brand medications when generics are available. One recent example of this enduring relationship is the Greater Maryland Heart Walk, which took place this past October 8.

Staged within the historic Maryland State Fairgrounds, CareFirst supported the American Heart Association for the third year in a rowo engage the community about the importance of fundraising, a key to facilitating continued research aimed at preventing and treating heart disease and impacting total health. According to Dr. Tich Changamire, vice president and chief medical officer CMO of CareFirst BlueCross BlueShield, working in concert with the American Heart Association is an invaluable and highly essential effort to help combat chronic health and heart disease while enhancing total health.

The walking events we stage with the American Heart Association create awareness for heart disease and help encourage people to go out, walk, exercise, and get some fresh air. One critical aspect of this effort is funding. As a condition that knows no boundaries, heart disease can impact anyone regardless of race, gender or ethnicity. It is inspiring to see an entire community of individuals from diverse backgrounds come together for an event like the Greater Maryland Heart Walk.

With heart disease and stroke as the number one and number three causes of death in Maryland according to the Maryland Department of Health , events like the Greater Maryland Heart Walk are needed now more than ever.

In addition to fundraising, events co-shared by CareFirst and the American Heart Association also create much-needed awareness of heart disease and stroke while helping to develop programs and initiatives at the community level that can reduce the severity or likelihood of heart disease.