- 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.
CAQH ProView
Why CAQH?
The CAQH Provider Data Portal Application is an online application that is compliant with the Maryland and the District of Columbia Uniform Credentialing Form regulations.
Benefits
- You only need to enter your information once to credential with multiple insurers.
- You can update your information online at any time.
- You do not have to fill out a new form every three years – just update any inaccurate information in your account.
Get Started
Follow these steps to use CAQH Provider Data Portal Application:
- Complete the CAQH Dental Provider Data Sheet and a W9.
- Email them to dentalcontracting@carefirst.com.
- Receive a CAQH ID number that allows access to the online application.
- Complete your online application and authorize CareFirst to access your information.
- Fax your supporting documents and attestation to CAQH at (866) 293-0414.
Once you receive the notification from CAQH that your application is complete, please email CareFirst at dentalcontracting@carefirst.com so that CareFirst can begin the credentialing process.
Already using CAQH?
If you have already completed an application through CAQH:
- Verify your data by logging in to your CAQH account.
- Authorize CareFirst to access your information.
- Complete the CAQH Dental Provider Data Sheet and a W9.
- Email them to dentalcontracting@carefirst.com.