Answer: Submit a completed Request for Information (RFI) Application, a Facility Data Sheet and all required credentialing information.
Answer: By Logging into the Provider Portal (CareFirst Direct) to update your provider information online.
For information that cannot be updated online, use the Change in Provider Information – Institutional/Ancillary form and include your office letterhead when returning the completed form.
If your Tax Identification Number (TIN) has changed, a new W9 must be included with your written request. If you are adding a new location, complete a new Request for Information (RFI) Application for submission.
For additional assistance, call Institutional/Ancillary Contracting at (410) 872-3526.
Answer: Your effective date will be determined by the successful completion of the credentialing and contracting process.