• Print:
  • Text Size:
  • CareFirst Direct

    Verify eligibility, check claim status and more - online.

    Get Started
  • PCMH

    Join Your Colleagues and Get Rewarded: Improve Patient Outcomes with our PCMH Program.

    Join PCMH

    It's your money. Claim it. Now. Get paid faster by submitting claims electronically.

    Learn more
  • Stay Connected

    Receive the latest Provider News & Updates via Email

    Learn more
    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

  • PCMH Logo

    It's Easy. It Saves. It's Good Medicine.
    The CareFirst PCMH Program rewards primary care providers for delivering quality, cost-efficient care to our members.

    Learn more
    The Center for Provider Education & Training (CPET)

    cpet small icon

    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.

    Learn more
  • Take Control of Your Data

    Newsletters small icon

    Better Data. Better Service. You're in Control.

    Verify your provider/practice information online through the Provider Portal (CareFirst Direct).

    Provider Newsletters

    Newsletters small icon

    Keeping you and your staff informed.

    Our online newsletters include articles on the latest CareFirst policies, news and events.

    Read Now