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.
Billing NPI Reminder:The billing NPI submitted on claims must match the billing NPI on file with CareFirst,NPPES and for CareFirst CHPMD providers, ePREP and, beginning 10/13/2026,MPRIME.If your billing NPI is not enrolled with CareFirst, please go to:Adding a New Billing NPI

Change Healthcare notifying individuals of data breach. Learn more here.

Quality & Affordability

Physicians play a key role in making care decisions and recommendations for their patients. Decisions on when and where to refer a patient for tests or to a specialist directly affect the subsequent quality and cost of care. CareFirst is committed to providing you with resources and information to supplement your clinical decision-making.

It is our goal to provide you with up-to-date data on laboratory, radiology and ambulatory surgery centers as well as other information to help achieve the compatible goals of improving quality and reducing health care costs.

We will add additional resources and make them easier to use on an ongoing basis.