- PreAuth/Provider Portal/CFD applications will be unavailable Sun,Mar 08 at 8AM to 12PM
- Medicare Advantage Individual PPO Claims Alert: Please check your patient records and submit claims using the correct MXJ prefix to avoid potential denials.Learn More
- The Provider Updates and Attestation tool is currently unavailable. If you have an urgent need to update your data,click here
Clinical Resources
CareFirst's Quality Improvement (QI) program seeks to enrich clinical care and administrative services in every area of the health care delivery system. Clinical resources are developed under our QI program and support our providers in treating chronic disease, providing preventive care and maintaining office operations.
All of our guidelines are based on national medical association and health organization recommendations, approved by a Quality Improvement Advisory Committee of physicians and reviewed annually or when national guidelines change.
Documentation and Office Standards
Manual