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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
- January 2020 BlueImpressions is Now Available
- CareFirst to use American Society of Addiction Medicine Guidelines
- Pending Regulatory Approval - CareFirst Agrees to Acquire Managed Medicaid Plans in MD and DC
- December 2019 BlueLink is Now Available
- October 2019 BlueLink is Now Available
- CareFirst Aims to Close Gaps in Care
- October 2019 BlueImpressions is Now Available
- Want to Learn Which Population Health Measures CareFirst is Focusing on in the 2019 Quality Scorecard?
- August 2019 BlueLink is Now Available
- ADHD and Narcolepsy Medications Subject to Quantity Limits
- July 2019 BlueImpressions is Now Available