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.
Learn moreLogin
-
-
-
Take Control of Your Data
Better Data. Better Service. You're in Control. Verify practice information online.
Login
-
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
-
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.
Learn more -
EDI/EFT
It's your money. Claim it. Now.
Get paid faster by submitting claims electronically.
Learn moreProvider Newsletters
Keeping you and your staff informed.
Our online newsletters include articles on the latest CareFirst policies, news and events.
Read Now
Provider News
- CareFirst is Updating its Prior Authorization List to Include 46 New DrugsSubmitting authorizations for Behavioral Health Services? Read this before you doUpdates to Dental Provider Manual, CareFirst Direct Guide, Dental Criteria and More in This Issue of BlueImpressionsMulti-factor Authentication And The Provider Portal. What It Is. Why It's Important. What You Need To Do The Next Time You LoginDental Fee Schedules and DHMO Copayment Schedules Are Now AvailableIn This BlueLink Issue, Get Your Update on Behavioral Health Services for Your Patients and ClaimsXtenRequesting post-acute facility services? Be sure to use the new authorization form