All PlansAdministrativeMedium impact
2027 Maternity Coding Changes
CareFirst BlueCross BlueShield·Reimbursement
Effective date
Oct 13, 2026
We identified it
Sep 3, 2026
Summary
This policy contains three unrelated administrative notices from CareFirst: (1) an ongoing investigation into EFT payments being issued as checks instead of ACH deposits with no immediate action required, (2) a billing NPI verification reminder requiring that billing NPIs match records in CareFirst, NPPES, ePREP, and MPRIME (effective 10/13/2026), and (3) notification of a healthcare data breach. The policy title references '2027 Maternity Coding Changes' but the actual content does not address maternity coding.
Action Required
Before 10/13/2026: Billing team must verify that all billing NPIs submitted on claims match the billing NPIs currently on file with CareFirst, NPPES, ePREP, and MPRIME. Reconcile any discrepancies and enroll missing billing NPIs with CareFirst. Starting 10/13/2026, claims with non-matching billing NPIs may be denied. Additionally, monitor CareFirst communications for updates on the EFT payment issue; no action is needed at this time but be prepared for resolution guidance. Review the data breach notification linked in the policy and take any recommended security measures.