CommercialAdministrativeMedium impact
Electronic Prior Auth Portal for CHPMD DualPrime Members
CareFirst BlueCross BlueShield·Prior Authorization
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Summary
CareFirst is launching a new Electronic Prior Authorization Portal for CHPMD and DualPrime members, integrated within the CareFirst Provider Portal with real-time decisioning capabilities. This will streamline the prior authorization process for these specific member types starting January 1, 2025.
Action Required
By January 1, 2025: Billing and authorization staff must familiarize themselves with the new CareFirst Electronic Prior Authorization Portal at https://provider.carefirst.com. Review the full article for system capabilities and begin using the integrated portal for all CHPMD and DualPrime member prior authorizations. Train staff on the new real-time decisioning features and dashboard interface.