CommercialAdministrativeMedium impact
Important Update: Simplifying Utilization Management Fax Submissions
CareFirst BlueCross BlueShield·Prior Authorization
We identified it
Jun 20, 2026
Summary
CareFirst is simplifying their prior authorization fax process by reducing from 30+ forms to just 2 forms (inpatient and outpatient) and consolidating to single fax numbers per plan type. Electronic submission through the provider portal remains preferred over fax submissions.
Action Required
Immediately: Access and download the new inpatient and outpatient prior authorization forms from CareFirst's Medical Forms and General Forms pages. Update billing team procedures to use only these two forms for all prior auth fax submissions. Update fax number references: Commercial/Healthy DC (410-720-3063), Federal Employee Program (410-720-3062), Medicare Advantage PPO (443-753-2346), CareFirst CHPMD (443-552-7407), DualPrime (443-753-2182). Continue prioritizing electronic submissions through CareFirst Provider Portal.