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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 up-to-date benefit changes, including billing updates and new claims submission requirements.
Keep Directory Information Accurate
CareFirst has a self-service tool within the CareFirst Provider Portal that allows you to quickly update and/or attest to your provider and practitioner information. 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.
Learning and Engagement Center
We’ve got you covered.
LEC 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
- Updates Coming to our Provider Education Website
- Help Us Protect Member Information
- 2022 Updates to Dental Clinical Criteria and Dental Reference Guide for Required Attachments
- CAA Mandate – CareFirst Updates Provider Portal
- Upcoming CareFirst Formulary Updates Effective April 1 and May 1, 2022
- Update on CareFirst’s Prior Authorization Notification System
- CareFirst Upgrades Prior Authorization Notification System
- Outpatient Coverage of Remdesivir for COVID-19 for all CareFirst Members
- Utilization Management Flexibilities
- MedStar Select Plan Update
