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CommercialAdministrativeHigh impact

CareFirst Upgrades Prior Authorization Notification System

CareFirst BlueCross BlueShield·Prior Authorization
Effective date
Jan 10, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

CareFirst has upgraded to a new Prior Authorization notification system called Altruista for Commercial and FEP members, effective January 10, 2022. Providers must now use the new system accessed through the 'Prior Auth/Notifications' tab in the CareFirst provider portal instead of the old system.

Action Required

Action needed
Immediately: All staff handling prior authorizations must transition to the new Altruista system by logging into carefirst.com and selecting the 'Prior Auth/Notifications' tab, then clicking 'Start Now' under Medical (Commercial/FEP/Medicare Advantage) for all inpatient notifications and outpatient authorizations. Complete available training webinars or on-demand training at carefirst.com/providereducation before January 31, 2022. Update workflow procedures to reflect the new system interface and dashboard.