- REMINDER: PCP names are not required on member ID cards for any line of business. Members should not be turned away if a PCP name is not listed. Please access CareFirst Direct to verify eligibility and benefits.
- The Provider Updates and Attestation tool will be available for use starting April 6th.
CAHPS survey fielding is underway:
From March through May, some CareFirst members will receive the CAHPS® survey about
their healthcare experience. When it comes up in conversation, a brief reminder that
the survey matters can help ensure member feedback is heard. View CAHPS resources
Take Control of Your Provider Data — Now Easier Than Ever
The enhanced Provider Updates & Attestation tool in the CareFirst Provider Portal puts provider data management at your fingertips—quickly update and attest your information, confirm your network participation, add new practitioners to your group, and more, at your convenience.
Provider Outage
Update Your Password Starting August 17, 2025
Starting August 17, all CareFirst Provider Portal users will need to reset their passwords. When users reset their passwords, they will also be encouraged to enroll in passwordless, authentication-secure and user-friendly alternatives to traditional passwords such as passkeys and biometric verification. Instructions and FAQs are available.
Utilization Management Process Improvements
We’re improving UM fax intake-fewer forms, fewer fax numbers and easier submissions when unable to submit electronically.
Learn more
CareFirst Healthy DC Plan
Access helpful resources and training to support this new plan available to qualified residents in the District of Columbia.
Member experience survey fielding is underway
From March through May, some CareFirst members will receive a Member Experience Survey (also known as the CAHPS survey) about their healthcare experience. When it comes up in conversation, a brief reminder that the survey matters can help ensure member feedback is heard. View CAHPS resources
Select 'Register' or 'Login' above to verify eligibility and benefits, check claims status, verify prior authorization requirements and submit requests, access remittance information, fee schedules and more at your convenience 24/7.
Helpful resources available on the Learning and Engagement Center.
Provider Quick Reference GuideMember ID Card GuideProvider Billing Self-Service GuideProvider Link ListProvider Newsletters
Use our Provider Support Tool to quickly access the resources, services, and contacts you need - without having to pick up the phone or search through multiple pages of information.
Why CareFirst?
The largest provider network in the region and a commitment to value-based, preventative care for all. Learn more about what partnership means to CareFirst.
Provider Credentialing
Healthcare Transformation
- Medical Policy Updates and Effective Dates
- Reminder: Prior Authorization Requirements for Healthy DC Plan Members – Effective April 1, 2026
- Atlas Systems Outreach to Providers Underway
- Upcoming CareFirst Formulary Updates Effective April 1, 2026
- Complete the Annual Mandatory Model of Care Training Attestation Today!
- Enter Medical Prior Authorizations Electronically for CareFirst Members
