Electronic Capabilities

Electronic Data Interchange (EDI)

If you currently do not submit claims electronically or need assistance, please contact one of our preferred clearinghouses (By clicking any of the links below, you will leave the CareFirst website and access a vendor website. The vendor is solely responsible for the services it provides.):

Electronic Fund Transfer (EFT)

Commercial and Federal Employee Program

For CareFirst Participating Providers Only: The following clearinghouse also offers electronic fund transfer (EFT) services (By clicking the link below, you will leave the CareFirst website and access a vendor website. The vendor is solely responsible for the services it provides.):

The following information is required when contacting your clearinghouse to enroll for EFT services:

  • National Provider Identifier (NPI) – Billing NPI
  • Provider Federal Tax Identification Number (TIN)
  • Reason for Submission: New/Change/Cancel Enrollment
  • Requested EFT Start/Change/Cancel date
  • Practice/Provider Name
  • Financial Institution Information (including Financial Institution Name, Financial Institution Routing Number, Type of Account (Checking/Savings), Provider's Account Number)

Government Programs:

Medicare Advantage, CareFirst CHPMD, DualPrime and Healthy DC

CareFirst has partnered with Zelis for our Government Programs lines of business to bring providers more efficiency in how they receive claims payments and remittance information through the no-cost CareFirst ePayment Center.

How do you enroll in CareFirst’s ePayment Center?

  1. Visit carefirstmedicaid-medicare.epayment.center and follow the instructions to obtain a registration code.
  2. Submit your information to start enrollment.
  3. Within 24–48 hours, you will receive an email from help@epayment.center outlining the next steps to complete enrollment.

Need assistance?

For questions about enrollment or for more information call (855) 774-4392 or email help@epayment.center. You can also visit carefirstmedicaid-medicare.epayment.center for additional information.

  • Optional: ZAPP Edge (advanced solution): If you’re interested in additional tools and data to help streamline your accounts receivable process, CareFirst has partnered with Zelis to offer access to ZAPP Edge, an advanced electronic payment solution that delivers claims payments and remittance data, along with payment and denial insights, for 550+ payers—including CareFirst—all in one place. To learn more, call (855) 496-1571.

Contact your financial institution and arrange for the delivery of the CORE-Required minimum CCD+ Data Elements. This assures successful reassociation for EFT payment with ERA remittance.

With EFT transmission, CareFirst will discontinue the delivery of your paper remittance notice. Your Electronic Remittance Advice (ERA-835) will be delivered by your clearinghouse and will be your new payment voucher.

The ERA-835 will include payment details and HIPAA adjustment and remarks codes necessary for you to reconcile your patient accounts. If a copy of this information is needed, you should contact your clearinghouse.

View our EFT FAQs or contact your clearinghouse with any questions regarding specific EFT enrollment capabilities.