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Effective September 1 - Use Self-Service Options for Common Requests

Posted on 2025-08-29 | Updated on 2025-08-29 10:00:32

Effective September 1, 2025, the dental provider service team will redirect all benefit fax requests and the following routine inquiries: eligibility/benefits, claim status, remittance and fee schedule requests, to CareFirst Direct and CareFirst on Call. This allows our dedicated provider service team to handle more complex issues.

Below, we’ve outlined a number of resources that your office may want to bookmark for future reference. All of these resources can be found on CareFirst’s Learning and Engagement Center by navigating to carefirst.com/learning (note: all links open in new tabs).

Function	CareFirst Direct	CareFirst on Call (IVR)	Applicable Training
Eligibility and Benefits	X	X	Checking Eligibility and Benefits on CareFirst Direct
View Membership ID Cards	X		How to Read ID Cards
Benefit Accumulations (like maximums and deductibles)	X	X	Checking Eligibility and Benefits on CareFirst Direct
Claims Status and Denial Reasons (line by line)	X	X	Checking Claim Status in CareFirst Direct
Ability to Submit Claims Inquiries	X		Checking Claim Status in CareFirst Direct
Remittance (Accessing your NOPs)	X		Remittance in CareFirst Direct
Fee Schedules	X		Fee Schedules in CareFirst Direct

Don’t have an account yet?

Now is the perfect time to register for CareFirst Direct if you haven’t done so already. Access step-by-step instructions here.

Using a third-party biller?

This helpful resource outlines the educational resources your third-party biller may need to fulfill your benefit fax inquiries on CareFirst Direct.

Have an account, but need help finding dental benefit PDFs on the portal?

Head to our navigational resource for Accessing Eligibility and Benefits on CareFirst Direct.