- 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.
CareFirst Direct
CareFirst Direct is a free, convenient tool that gives you fast access to the information you need.
With CareFirst Direct, you can:
- Make inquiries on your own time
- Avoid time consuming phone calls
- Verify eligibility and benefits
- Check claim status, access remittance and NOP information
Get Started Today
Click Register Now to complete the step-by-step registration to create a user account.
We recommend that one person complete the registration process for the entire practice. Set up a CareFirst Direct account for each tax identification number (TIN) used in your practice. Billing agents must be registered at every physician's office where they provide services. Providers should grant access to their billing agents.
What’s Available
For Professional and Institutional Providers:
Participating institutional and professional providers can view information for our members, including Federal Employee Program (FEP) and National Account (NASCO) members. They may also obtain out-of-area claims and eligibility information for members from other Blue Cross and Blue Shield Plans. Vision information is not available.
For Dental Providers:
Detailed information is available to our Traditional and Preferred dental providers. Our National Account (NASCO) and Federal Employee Program (FEP) dental providers also can take advantage of this service by viewing the limited eligibility and claim status information now available.
System Requirements
There are no fees to use this web site.
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