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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.
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.
Center for Provider Education
We’ve got you covered.
CPE 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
- Request Your Provider Profile Score Today
- New Prior Authorization Requirement for Ivermectin
- CareFirst Launches New Provider Education Website
- Update to Member Cost Sharing for Treatment of COVID-19
- Upcoming Live Webinars for New Prior Authorization System
- CareFirst to Implement DC Insulin and Diabetes Device Affordability Amendment Act
- The D.C. Minor Consent for Vaccinations Amendment Act
