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.
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Provider Portal Maintenance
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Take Control of Your Data
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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
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- Electronic Data Interchange (EDI)
- Electronic Funds Transfer (EFT)
- National Provider Identifier (NPI)
CareFirst Features
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The Center for Provider Education & Training (CPET)
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CPET offers a variety of free, flexible and engaging courses to provide you and your office staff with time saving information.
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EDI/EFT
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Our online newsletters include articles on the latest CareFirst policies, news and events.
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Provider News
- CareFirst's Behavioral Health and Substance Use Disorder ProgramsHospital Transition of Care (HTCs) and The Post-Acute Placement ProcessIn This BlueLink Issue – April CPT Code Updates, Claims Submission Reminders, FEP Policy for Travel Vaccines and moreSoliris Added to Site of Care ManagementSubmitting authorizations for Behavioral Health Services? Read this before you do