Enter Medical Prior Authorizations Electronically for CareFirst Members
Providers can use the CareFirst Provider Portal (CareFirst Direct) to verify eligibility and benefits, check claim status, verify prior authorization requirements, submit and check the status of prior authorization request electronically, and more for all their CareFirst patients.
Benefits of Entering Prior Authorizations through the CareFirst Provider Portal
- Eliminates the need to fax your requests
- Ability to attach required clinical documentation to your request to ensure the Utilization Management team has what it needs to respond
- Access to the Prior Authorization Lookup Tool to quickly verify requirements
- Quicker review and decision making by the Utilization Management team
- Some requests receive real time approval if they meet medical necessity guidelines
- Ability to check the status of your requests within the authorization list and authorizations in progress sections
- Ability to edit dates of service on open authorizations
- Ability to view and respond to messages from CareFirst regarding the authorizations you submitted
Need more information? Access the On-Demand Training – CareFirst Essentials section of the Learning and Engagement Center for step-by-step guides and FAQs.