Provider Outage
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Better Data. Better Service. You're in Control. Verify practice information online.
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
- ADHD and Narcolepsy Medications Subject to Quantity Limits
- July 2019 BlueImpressions is Now Available
- 11 Medications Added to the Prior Authorization List — Effective 9/1/19
- CareFirst Launches New Dental Plan Under the BlueDental Family
- Review the Latest Updates to Our Professional Provider Manual
- Updated Claims Information for Freestanding Substance Use Disorder Facilities
- CareFirst Updates Core Details of the PCMH Program
- CareFirst Supports Your Patients Behavioral Health Needs. Read More in This Issue of BlueLink
- CareFirst Expands Behavioral Health Services To Better Support Your Patients
- Physicians, Register Today for the CareFirst Pediatric Conference
- Register for a Professional Provider Seminar on May 21
- Lactation Consultants Invited to Join CareFirst’s Networks
- Have You Heard About The New Patient Safety Standards?
- Review The Latest Updates To The Institutional Provider Manual