- 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.
Payment Policy
The online Payment Policy Reference Manual contains approved payment policies for all Commercial products offered by CareFirst. Payment policies are based on the most current research available at the time of policy development.
The policies in this Payment Policy Reference Manual are for informational use only. These policies are not intended to certify or authorize coverage availability and do not serve as an explanation of benefits or a contract. Member/subscriber coverage will vary from contract to contract and by line of business. Benefits will only be available upon the satisfaction of all terms and conditions of coverage. Some benefits may be excluded from individual coverage contracts.
These policies are not intended to replace or substitute the independent medical judgment of a practitioner or other health professional for the treatment of an individual.
CareFirst reserves the right to add, review, update and/or remove payment policies as necessary.
*For the purposes of this Manual, ‘Plan’ refers to all lines of business and affiliates of CareFirst BlueCross BlueShield.