Coronavirus (COVID-19) Information
CareFirst is closely monitoring the coronavirus situation and working in close partnership with state and local public health authorities. Check out our Coronavirus Resource Center for information and resources to help you get the care you need and to protect yourself, your family and your community.
We Stand Together Against Racial Injustice
Inequity and injustice are a devastating sickness. We stand alongside our Black members, employees, providers, partners and communities—committing ourselves to take action to ensure equity for each and every person in our society. Read more.
Medical Policy
Electronic Claims
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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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Provider Features
The CareFirst PCMH Program
The CareFirst PCMH Program rewards primary care providers for delivering quality, cost-effective care. Read the complete Program Description and Guidelines or click “Learn more” below.
The Center for Provider Education & Training (CPET)
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.
EDI/EFT
It's your money. Claim it. Now.
Get paid faster by submitting claims electronically.
Provider Newsletters
Keeping you and your staff informed.
Our online newsletters include articles on the latest CareFirst policies, news and events.
Provider News
- CareFirst Adds Medicare Advantage to the Dental Provider Manual
- Pfizer’s COVID-19 Vaccine First to be Granted Emergency Use Authorization by the Food and Drug Administration
- CareFirst Upgrades Prior Authorization Notification System Effective Jan. 1 for Medicare Advantage Members
- The October 2020 BlueLink is Now Available
- CareFirst Adds FEP Resource Page to Website
- CareFirst Adds FEP Resource Page to Website
- CareFirst Discontinues Home-Based Services Program
- CareFirst Now Credentials Registered Psychology Associates
- CareFirst is Extending Coverage of COVID-19 Testing, Treatment and Member-initiated Phone Consultations
- September 2020 BlueImpressions is Now Available
- August 2020 BlueLink is Now Available
- CareFirst Renames Transition of Care to Continuity of Care
- CareFirst Mailed the Provider Participation Agreement
- CareFirst Provider Participation Agreement - Coming Soon!
- June 2020 BlueImpressions is Now Available
