CareFirst BlueCross BlueShield And D.C. Children's Hospital Agree On New Contract
CareFirst BlueCross BlueShield  
About Us Careers Contact Us Media Center Glossary Search the CareFirst Site
Providers and Physicians
Resources and Seminars Electronic Services Medical Policies Prescription Drugs Forms
CareFirst.com Providers & Physicians Medical Policies
Medical Policy Reference Manual

The CareFirst BlueCross BlueShield (CareFirst) online Medical Policy Reference Manual contains approved medical policies and operating procedures for all products offered by CareFirst.

Medical policies, which are based on the most current research available at the time of policy development, state whether a medical technology, procedure, drug or device is:
  • experimental/investigational
  • cosmetic
  • medically necessary

Operating procedures provide specific benefit information and/or instructions.

Additional information about the online Medical Policy Reference Manual is available by reading the introduction section of the manual.

Search Medical Policies by subject or word:

Solution Center
Need Claim Status or Eligibility?
Phone Numbers and Claim Addresses
Provider Manuals
Register for a Seminar - Professional, Institutional, Dental
Find a Doctor
Find My Provider Representative - Professional, Ancillary & Institutional, Dental
Credentialing
Update Practice Information PDF
Thomas/Love Settlement
Disease Management
Center for Provider Education & Training
Pay for Quality Programs:
<empty> CareFirst Quality Rewards - Surgeons
<empty> CareFirst Quality Rewards
National Provider Identifiers (NPI)
Options Discount Program - Alternative Therapies, Vision, Hearing and More
Health and Wellness -
My Care First
(En Español)
HIPAA
News & Updates

Dental Fee Schedule Modification effective 1/1/2010

New Provider CDH Training Module Available

Important Policy Updates Regarding H1N1

Hearing Aid Fee Schedule Update and Policy Change

State of MD Claims - New Addresses

2009 Provider Reimbursement Changes

NASCO Referrals

Receive News Via E-mail

Prescription Drug News

Nutritional Supplements and Over-the-Counter FDA Safety Information

Newsletters

Latest News & Archives


Serving Maryland, Delaware, the District of Columbia and portions of Virginia. CareFirst of Maryland, Inc., Blue Cross Blue Shield of Delaware, Group Hospitalization and Medical Services, Inc., CareFirst BlueChoice, Inc. and Preferred Health Network are independent licensees of the Blue Cross and Blue Shield Association. ®Registered trademark of the Blue Cross and Blue Shield Association. ®' Registered trademark of CareFirst of Maryland, Inc.