- CareFirst CHPMD Providers: Starting 11/2, you can submit medication prior authorizations electronically through the CareFirst Provider Portal. For more information watch this recorded webinar or access the step-by-step guide.
- All Providers: Billing NPI Reminder:The billing NPI submitted on claims must match the billing NPI on file with CareFirst,NPPES and MPRIME(CareFirst CHPMD). If your billing NPI is not enrolled with CareFirst, add it here .
Change Healthcare notifying individuals of data breach. Learn more here.
Clinical Resources
CareFirst's Quality Improvement (QI) program seeks to enrich clinical care and administrative services in every area of the health care delivery system. Clinical resources are developed under our QI program and support our providers in treating chronic disease, providing preventive care and maintaining office operations.
All of our guidelines are based on national medical association and health organization recommendations, approved by a Quality Improvement Advisory Committee of physicians and reviewed annually or when national guidelines change.
Documentation and Office Standards
Manual