Maryland HealthChoice
- MedStar Medicare Choice/MedStar Select Provider website
- For Providers
- Make Provider Changes
- Provider Support
- Provider Resources
- Preauthorization and Utilization Management
- Refer a Patient to a Specialist
- Pharmacy
- Claims
- Check Claims Status
- Requirements: False Claims and Statements
- Fraud and Abuse Retractions
- Emergency Room Auto-Pay List
- Claims and Billing Procedures
- Claims Submission
- Electronic Claims Submission
- Timeliness of UM Decisions
- Denial Codes and Reasons
- Claims Appeals Procedures
- Claims and Refunds
- National Drug Code
- Modifier 32
- Modifier TH
- Observation Authorization
- Visual Evoked Response (VER) / Visual Evoked Potential (VEP)
- Quality Assurance and Monitoring Programs
How to Join MedStar Family Choice
MedStar Family Choice is pleased to announce that we are now a member of the Council for Affordable Quality Healthcare (CAQH). Providers interested in joining the MedStar Family Choice network should complete/send the form below or contact a Provider Relations representative at 1-800-905-1722, option 5.
MedStar Family Choice New Provider/Group Interest Form
Please be sure to authorize MedStar Family Choice as a health plan member which will allow us to access your information through CAQH, and be sure to keep a current signed and dated Standard Authorization, Attestation, and Release form (wet signature) on file with CAQH.
Providers must hold a valid, current license, and must have current, unrestricted privileges at one of the following MedStar Family Choice participating hospitals:
- MedStar Franklin Square Medical Center
- MedStar Good Samaritan Hospital
- MedStar Harbor Hospital
- MedStar Union Memorial Hospital
- MedStar Georgetown University Hospital
- MedStar Montgomery Medical Center
- MedStar National Rehabilitation Network
- MedStar St. Mary's Hospital
- MedStar Washington Hospital Center
- MedStar Southern Maryland Hospital Center
- Doctor's Community Hospital
- Kennedy Krieger Institute
- Mt. Washington Pediatric Hospital
Providers who apply to MedStar Family Choice have the right, upon request, to review their credentialing application, correct inaccurate information and obtain the status of their application during the credentialing process. Requests can be made by calling 1-800-905-1722 option 5 or fax to 1-855-600-3077. The credentialing process will be completed within 120 days from the date MedStar Family Choice notifies the Provider of MedStar Family Choice's intent to process the application.
Providers must be recredentialed at least every three (3) years.