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.

Paper Claims

If you are still submitting paper claims, use the following forms to submit your claims:

Professional Claims

Professional claims must be submitted using the current version of the CMS-1500 form (version 02/12) on original red-ink-on-white-paper. To order a supply of forms, please use your normal process.

Institutional Claims

Institutional claims must be submitted using the current version of the UB-04 form. Visit the NUBC website to find details for using and ordering the new form.