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Medical Policy
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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
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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
- We Have Made Some Updates To The Professional Provider Manual
- Join us for Genetic Testing Prior Authorization Webinars
- Will you be in Baltimore or Silver Spring next week? We have a seminar for you
- Effective January 1, Seven New Drugs Will Require Prior Authorization
- October 2018 Issue of BlueImpressions is Now Available Online
- We have updated the Dental Provider Manual
- Open for Details about Updates to the CareFirst Provider Website
- Updates to the ePA tool, BlueLink Tip and more in this issue of BlueLink
- Register today for the CareFirst Provider Engagement Expo
- Are you located in Rockville, MD or Fairfax, VA? We have a training for you
- PCMH Quarter 3 Update: 2017 Performance Year Results, Reducing Admissions and More
- Changes to Professional Fee Schedule Effective Dec. 1