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Frequently Asked Questions

How do I check eligibility and benefits on CareFirst direct?

Eligibility and Benefits You can search for a Member to check their Eligibility and Benefits information directly from the CareFirst Direct home page. We recommend checking eligibility and benefits every visit to ensure accuracy. To view the information you need, please be sure to have the membership ID and patient’s date of birth.

Who is CareFirst administrators?

CareFirst Administrators (CFA) is the only third-party administrator in Maryland, D.C. and Northern Virginia providing flexibility and superior service, through the most trusted name in healthcare—locally through CareFirst BlueCross BlueShield, and nationally through the Blue Cross Blue Shield Association.

Is CareFirst owned by Blue Cross and blue shield?

CareFirst Administrators: Is a Baltimore-based third-party administrator (TPA), an affiliate company of CareFirst BlueCross BlueShield, and an independent licensee of the Blue Cross and Blue Shield Association. Is the only TPA in the Maryland/Washington DC region to carry the Blue Cross and Blue Shield brands.

What is the CareFirst PCMH program?

The CareFirst PCMH Program rewards primary care providers for delivering quality, cost-effective care. Read the complete Program Description and Guidelines or click “Learn more” below. We’ve got you covered. CPET offers a variety of free, flexible and engaging courses to provide you and your office staff with time saving information.

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