CommercialPrior AuthMedium impact
Prior Authorization/Notification System Reminder – Always Select ‘Submit Request’
CareFirst BlueCross BlueShield·Prior Authorization
Effective date
Aug 18, 2022
We identified it
Jun 20, 2026
Summary
CareFirst BlueCross BlueShield has issued a reminder about their prior authorization/notification system, emphasizing that users must always select 'Submit Request' when using the MCG clinical criteria interface. This is a process clarification to ensure requests are reviewed in a timely and accurate manner.
Action Required
Immediately: All staff using CareFirst's prior authorization system must ensure they select 'Submit Request' when completing prior authorization requests through the MCG clinical criteria interface. Train all authorization staff on proper system navigation to avoid delays in request processing.