- 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.
Pre-Cert/Pre-Auth (Out-of-Area)
Find Pre-Service Review information for out-of-area members.
Process for Obtaining Pre-Service Review Information
To view the out-of-area Blue Plan's medical policy or general pre-certification/pre-authorization information, please:
- Select the type of information requested
- Enter the first three letters of the member's identification number found on the BlueCross BlueShield ID card
- Click 'GO'
If you experience technical difficulties or need additional information, please contact 1.800.676.BLUE.