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.

Dental Forms

Dental Forms

Continuation of Care Form for Orthodontic Treatment

Dental Change in Provider Information Form

Dental Continuing Education Registration Form

Handicapping Labio-Lingual Deviations (HLD) Orthodontic Treatment Score Sheet

NPI Submission Form for Dental Providers

Salzmann Evaluation Form for Orthodontic Services

Uniform Dental Consultation Referral Form

CareFirst BlueCross BlueShield Advantage Dental Benefits Summary Core (HMO)

CareFirst BlueCross BlueShield Advantage Dental Benefits Summary Enhanced (HMO)

CareFirst BlueCross BlueShield Advantage Dental Benefits Summary Enhanced Add-On (HMO)