- 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.
Institutional Ancillary Credentialing Overview
Why CareFirst?
Become a part of the largest provider network in the region. Today, more than 80 percent of the region’s most dedicated health care providers serve 3.4 million members in Maryland, D.C. and Northern Virginia.
Institutional and ancillary providers who have a physical location in the CareFirst service area are eligible to participate in our BlueChoice and/or Regional Participating Preferred Network (RPN). View a list of institutional/ancillary providers that are eligible to participate.
Institutional and ancillary providers are required to have a physical location in the CareFirst service area, meet all credentialing requirements and submit all required credentialing documents.
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. To request this information, call (410) 872-3526.