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  • CareFirst Direct

    Verify eligibility, check claim status and more - online.

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    PCMH

  • PCMH

    Join Your Colleagues and Get Rewarded: Improve Patient Outcomes with our PCMH Program.

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    PCMH

  • EDI/EFT

    It's your money. Claim it. Now. Get paid faster by submitting claims electronically.

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    EDI/EFT

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Medical Policy

Find approved medical policies and operating procedures for all products offered by CareFirst in the online Medical Policy Reference Manual.

Electronic Claims

Get paid fast and save time - submit your claims online.

  • Electronic Data Interchange (EDI)
  • Electronic Funds Transfer (EFT)
  • National Provider Identifier (NPI)

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PPACA Preventive Services

MD EHR Adoption Incentive

ICD-10

CareFirst Features

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    It's Easy. It Saves. It's Good Medicine.
    The CareFirst PCMH Program rewards primary care providers for delivering quality, cost-efficient care to our members.

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    The Center for Provider Education & Training (CPET)

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    We’ve got you covered.

    CPET offers a variety of free, flexible and engaging courses to provide you and your office staff with time saving information.

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  • Take Control of Your Data

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    Better Data. Better Service. You're in Control.

    Verify your provider/practice information online through the Provider Portal (CareFirst Direct).

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    Provider Newsletters

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    Keeping you and your staff informed.

    Our online newsletters include articles on the latest CareFirst policies, news and events.

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