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.
PreAuth/Provider Portal/CFD applications will be unavailable Sat,July 18 from 8AM to 2PM and Sun, July 19 from 8AM to 2PM

Medicare Appeals and Grievances

CareFirst Advantage encourages our members to let us know if they have questions, concerns, or problems related to covered services or the care that they receive. Members are encouraged to first contact Member Services at 855-290-5744 for assistance. For information about the rules for making complaints in different situations, please review the information in this section.

Federal law guarantees a member’s right to make complaints regarding concerns or problems with any part of their medical care as a plan member. The Medicare program has set forth requirements for the filing and processing of member complaints. If a member or authorized representative files a complaint, we are required to follow certain processes when we receive it. We must be fair in how we handle it, and we are not permitted to disenroll or penalize a member in any way for making a complaint. Read the Appeals and Grievances in Chapter 10 of our provider manual.