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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
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
- Physicians, Register Today for the CareFirst Pediatric Conference
- Register for a Professional Provider Seminar on May 21
- Lactation Consultants Invited to Join CareFirst’s Networks
- Have You Heard About The New Patient Safety Standards?
- Review The Latest Updates To The Institutional Provider Manual
- Do you have a claim to refund? Open now to get the new mailing address.
- Brace Yourself for the latest Orthodontic Treatment Updates — Read BlueImpressions For More Info
- Register Today for the CareFirst Pediatric Conference
- Sign-up Today for Our Annual Dental CE Seminar – Register Now
- Do You Want To Learn More About Pediatric Topics Relevant To Providers Like Yourself?