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 information and resources to help you get the care you need and to protect yourself, your family and your community.
Medical Policy
Electronic Claims
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Quick Links
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
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
- CareFirst Launches New Coronavirus Resource Center
- Maryland Department of Health and DC Health Release Coronavirus Guidance
- Review the Latest Update to Our Professional Provider Manual
- CareFirst Acquires Trusted Health Plan in Washington, D.C. and Enters Medicaid Market
- CareFirst is Monitoring the Coronavirus Situation
- 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
