- We are working to resolve an issue that may impact how Harford County Public Schools benefits display. Member coverage is still active; however, benefit details may not appear correctly at this time. For benefit details or help, please call Provider Service using the number on the back of the member ID card
- EFT Payments Issued as Checks:CareFirst identified on or around May 10 an issue in which some providers who were set up to receive ACH/EFT payments instead received paper checks. This issue remains under active investigation. Providers do not need to take any action at this time. We are working toward resolution and will continue to share updates as more information becomes available, including expected timing.
- ERAs Reflecting Check Information Instead of ACH:CareFirst is aware of an issue in which some Electronic Remittance Advices (ERAs) reflected check payment information instead of ACH/EFT details. This issue was resolved on May 29, 2026. CareFirst is currently working to reissue impacted ERAs to include the correct ACH/EFT information. Providers do not need to take any action at this time.
Machine Readable Provider Directory Data
Machine Readable Data for Provider Network and Prescription Formulary Content for Federally-Facilitated Marketplace (FFM) Qualified Health Plans (QHP)
As required by the Patient Protection and Affordable Care Act, for plan years beginning on or after January 1, 2016, qualified health plan (QHP) issuers in the Federally-Facilitated Marketplace (FFM) are required to publish information regarding their provider directories and formulary drug lists on their website in a machine-readable format.
This requirement increases and enhances consumer transparency by allowing software developers to access up-to-date, accurate and complete formulary and provider data needed to create innovative and informative tools.
In accordance with this requirement, the following files are available for use:
- Index data
- Plan data
- Medical provider data - file 1
- Medical provider data - file 2
- Medical provider data - file 3
- Medical provider data - file 4
- Medical provider data - file 5
- Medical provider data - file 6
- Medical provider data - file 7
- Medical provider data - file 8
- Dental provider data - file 1
- Dental provider data - file 2
- Dental provider data - file 3
- Dental provider data - file 4
- Dental provider data - file 5
- Prescription formulary data - file 1
- Prescription formulary data - file 2