- PriorAuth /Guiding Care/ Population Health applications will be unavailable Fri, Aug 07 from 7PM to Sat, Aug 08 at 4AM
- PriorAuth/Provider Portal/CFD applications will be unavailable Sun, Aug 09 from 6AM to 10AM
- EFT Payments Issued as Checks:CareFirst identified on or around May 10 an issue in which some providers who were set up to receive ACH/EFT payments instead received paper checks. This issue remains under active investigation. Providers do not need to take any action at this time. We are working toward resolution and will continue to share updates as more information becomes available, including expected timing.
- ERAs Reflecting Check Information Instead of ACH:CareFirst is aware of an issue in which some Electronic Remittance Advices (ERAs) reflected check payment information instead of ACH/EFT details. This issue was resolved on May 29, 2026. CareFirst is currently working to reissue impacted ERAs to include the correct ACH/EFT information. Providers do not need to take any action at this time.
Clinical Resources
CareFirst's Quality Improvement (QI) program seeks to enrich clinical care and administrative services in every area of the health care delivery system. Clinical resources are developed under our QI program and support our providers in treating chronic disease, providing preventive care and maintaining office operations.
All of our guidelines are based on national medical association and health organization recommendations, approved by a Quality Improvement Advisory Committee of physicians and reviewed annually or when national guidelines change.
Documentation and Office Standards
Manual