Carefirst provider enrollment application

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All Practitioners must be re-credentialed within three years of their last credentialing date. Static historical elements such as education are not re-verified. CareFirst CHPDC collects and conducts primary source verification on all re-credentialing information and documentation. CAQH promotes quality interactions between health plans and providers. When a practitioner completes the on-line application with CAQH that practitioner has the ability to utilize one application for many different health plans.

This reduces time, cost and frustrations associated with healthcare administration. It takes approximately 1. When filling out paper applications for several different health plans it may take several hours. Designed and Powered by Inroads. Powered by QuikWeb Developer. Thank you for your help. Report incorrect info for www. Help us stay up to date. Use this form to let us know about corrections and we'll follow up. Home Credentialing Information.

Email A Friend Print. Pharmacy Drug Formulary Resources. Additional Provider Resources. Provider Connections. Provider Resources.

Powered by QuikWeb Developer. Thank you for your help. Report incorrect info for www. Help us stay up to date. Use this form to let us know about corrections and we'll follow up. Email A Friend Print.

Pharmacy Drug Formulary Resources. Additional Provider Resources. Provider Connections. Provider Resources. Provider Training. Live webinars hosted using Microsoft Teams will begin on June 14, and will be offered 3 times a week. Click here to register for an upcoming webinar. You only need to attend one session. Additional Credentialing Info Please fill out the form below and one of our helpful staff will be contacting you.

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You can consult with a board-certified doctor whenever you want on your smartphone, tablet or computer. This process allows you or your dependents to receive care from out-of-network providers for up to 90 days. Complete the Continuity of Care form and submit it to CareFirst to determine if you qualify for this process. Viewing and printing this document requires Adobe Acrobat Reader, which can be downloaded free from the Adobe site.

Toggle navigation. Provider Network. Our Network Advantage. A World of Choices Your membership gives you a world of choices. You must also notify CareFirst in writing, along with your application or CAQH data sheet that you desire to apply to both networks. Put the power of good health in your hands with the CareFirst wellness programme, made possible in collaboration with Share care, Inc. Your wellness programme offers a multitude of tools and resources, as well as simple recommendations and insights, targeted to your specific interests and needs—all designed to help you live your healthiest life.

Regardless of which CareFirst plan you select, you will have access to programmes and tools that will help you take an active part in your health, treat any health issues, and enjoy a healthier future. Our Patient-Centered Medical Home PCMH initiative is intended to give your primary care provider PCP a more comprehensive picture of your health needs, as well as the treatment you receive from other providers. The Credentialing Committee of Carefirst made up of practitioners who are part of the network.

A team of professionals and experienced executives oversee Carefirst Health Plan. We want to pay our providers promptly and accurately, process claims efficiently, and offer our members with high-quality health care services. Carefirst aspires to be one of the best provider-focused managed care organizations in the region.

Quality relationships between health plans and providers are encouraged by CAQH. When a practitioner completes the online application with CAQH, that practitioner gains access to a single application that may be used for a variety of health plans. This cuts down on the time, money, and difficulties associated with healthcare management.

One application takes about 1. It may take many hours to complete paper applications for multiple different health plans. Only enter your information once if you want to be credentialed with different insurers. There is no deadline for applying for Carefirst, and if you are currently registered, you can switch to CareFirst whenever you choose.

Monday through Friday a. CareFirst Provider Enrollment. Why to join Care first? Demonstrate a level of professional competence that is comparable to that of other network practitioners in their field.

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