- EFT Payments Issued as Checks:CareFirst identified on or around May 10 an issue in which some providers who were set up to receive ACH/EFT payments instead received paper checks. This issue remains under active investigation. Providers do not need to take any action at this time. We are working toward resolution and will continue to share updates as more information becomes available, including expected timing.
- ERAs Reflecting Check Information Instead of ACH:CareFirst is aware of an issue in which some Electronic Remittance Advices (ERAs) reflected check payment information instead of ACH/EFT details. This issue was resolved on May 29, 2026. CareFirst is currently working to reissue impacted ERAs to include the correct ACH/EFT information. Providers do not need to take any action at this time.
Change Healthcare notifying individuals of data breach. Learn more here.
Medicare Secondary Claims FAQs
Answer: A Medicare secondary claim is a claim that did not automatically cross over from Medicare. The automated Medicare cross over process remains unchanged.
Answer: CareFirst implemented changes on July 27, 2012 for professional providers and Nov. 1, 2014 for institutional providers that allow submission of Medicare secondary claims electronically.
Answer: All providers with a clearinghouse that has established this capability with CareFirst can submit Medicare secondary claims electronically. Please contact your clearinghouse to verify.
Answer: All of CareFirst’s clearinghouses (RealMed, Emdeon, Allscripts and RelayHealth) have set-up this capability. However, providers should contact their clearinghouse directly to make sure the capabilities have been set-up correctly for their practice.
Answer: Always allow 30 days from receipt of the Medicare EOB for claims to automatically cross over from Medicare and be processed by CareFirst before submitting a secondary claim to CareFirst.
Answer: Yes, at this time, only the Medicare secondary claims can be sent electronically. Providers should continue to send other secondary claims on paper with a copy of the EOB.
Answer: Yes. Outpatient claims must have payment and adjustment information posted at the line level. Inpatient claims are posted at the claim level.