Change Healthcare notifying individuals of data breach. Learn more here.

Utilization Management Process Improvements

New Update Available!

We’re improving UM fax intake-fewer forms, fewer fax numbers and easier submissions when unable to submit electronically.

2026 Quality Toolkit Available Now!

The Quality Toolkit is designed to support providers in improving their quality measures, compliance and documentation.

Medicaid check-in

New Rules for Medicaid Coming Soon!

Visit Medicaid Check-in to stay informed.

Access CareFirst Direct Today!

Select 'Register' or 'Login' above to verify eligibility and benefits, check claims status, verify prior authorization requirements and submit requests, access remittance information, fee schedules and more at your convenience 24/7.

Helpful resources available on the Learning and Engagement Center.

Looking for Support?

Use our Provider Support Tool to quickly access the resources, services, and contacts you need - without having to pick up the phone or search through multiple pages of information.

Learning & Engagement Center

Access the resources and tools you need to make interacting and working with us easier for you and your staff.

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Pre-Certification/Pre-Authorization

View the list of services that require pre-cert and pre-auth.

Forms, Manuals &
Guides

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Why CareFirst?

The largest provider network in the region and a commitment to value-based, preventative care for all. Learn more about what partnership means to CareFirst.