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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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
Get paid fast and save time - submit your claims online.
- 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)
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.
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EDI/EFT
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Get paid faster by submitting claims electronically.
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Keeping you and your staff informed.
Our online newsletters include articles on the latest CareFirst policies, news and events.
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Provider News
- Improve Your Practice's Efficiency with CareFirst Direct Learn how to properly submit a corrected claimCheck out this new issue of BlueLink to learn how to update your provider information from now onJune 2017 Issue of BlueImpressions Now AvailableCAQH Proview Integration with CareFirst Systems Has BegunColleague, are you available on May 11? Join us at Johns Hopkins Bayview for a refresher seminar