- 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 Credentialing Overview
Why CareFirst?
By joining the CareFirst dental network, you join one of the largest dental plans serving one million dental members in the Maryland, D.C. and Northern Virginia region.
We currently offer two methods for application. Providers can apply:
- through the Council for Affordable Quality Healthcare (CAQH) website, or
- directly to CareFirst using the Dental Provider Application
To avoid confusion and unexpected out-of-pocket expenses for members, all providers in the same practice must participate in the same provider networks.
Providers have the right, upon request, to review the information used in credentialing decisions, to correct inaccurate information and to obtain the status of the credentialing process. Requests can be made by calling (443) 921-0676 or by emailing dentalcontracting@carefirst.com.