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  • PCMH/TCCI Guidelines

    Improve patient outcomes with our PCMH and TCCI Programs.

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    PCMH
  • 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
  • Take Control of Your Data

    Better Data. Better Service. You're in Control. Verify practice information online.

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    Take Control of Your Data
  • Stay Connected

    Receive the latest Provider News & Updates via email.

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    Stay Connected

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)

CareFirst Features

  • 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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  • EDI/EFT

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    It's your money. Claim it. Now.

    Get paid faster by submitting claims electronically.

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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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