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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
- October 2018 Issue of BlueImpressions is Now Available Online
- We have updated the Dental Provider Manual
- Open for Details about Updates to the CareFirst Provider Website
- Updates to the ePA tool, BlueLink Tip and more in this issue of BlueLink
- Register today for the CareFirst Provider Engagement Expo
- Are you located in Rockville, MD or Fairfax, VA? We have a training for you
- PCMH Quarter 3 Update: 2017 Performance Year Results, Reducing Admissions and More
- Changes to Professional Fee Schedule Effective Dec. 1
- Join us for a refresher course in Owings Mills, MD or Arnold, MD
- Colleague, will you be in Cumberland on Oct. 2? Join us for a refresher course