CommercialPrior AuthHigh impact
Update on CareFirst’s Prior Authorization Notification System
CareFirst BlueCross BlueShield·Prior Authorization
Effective date
Jan 10, 2022
We identified it
Jun 20, 2026
Summary
CareFirst BlueCross BlueShield updated its Prior Authorization notification system on January 10, 2022, expanding the enhanced system that was previously available only for Medicare Advantage members to now include Commercial and FEP members. The new system features improved dashboards, real-time approvals for qualifying authorizations, and electronic communication with clinical staff.
Action Required
Immediately: Billing and authorization staff must transition to using the updated CareFirst Prior Authorization notification system at provider.carefirst.com for Commercial and FEP members. Complete available training at www.carefirst.com/providereducation and review FAQs for system navigation. Continue using Altruista for Group MA prior authorizations and Novologix for drug prior authorizations. Maintain 7-day window for retrospective inpatient notifications and 3-day window for outpatient authorizations.