Skip to main content
Your District of Columbia Health Plan Partner
  • Health Tool
  • Community Resources
  • Provider Login
  • Email Signup
Carefirstchpdc Logo
  • Home
  • Enrollees
    • Enrollee Login
    • Alliance Enrollees
    • Medicaid Enrollees
    • Doctor / Pharmacy Locator
    • Report Fraud, Waste, & Abuse
  • Providers
    • Additional Provider Resources
    • Doctor / Pharmacy Locator
    • Provider Login
    • Report Fraud, Waste & Abuse
  • Wellness
    • Wellness Center
    • Wellness Calendar
  • In the Community
    • Community Resources
  • About
    • CareFirst CHPDC Executive Team
    • Board of Directors
    • FAQs
    • Contact
  • Enrollee Portal Login

Providers

  1. Home
  2. PROVIDER CONNECTION
  • Email A Friend
  • Print
Providers
Credentialing
  • Information on Credentialing

Service Updates & Changes

Alliance Resources
  • Doctor / Pharmacy Locator
  • 2020 Drug Formulary
  • 2020 Drug Formulary (Machine Readable)

Additional Provider Resources
  • Authorization & Request Forms
  • Behavioral Health Screening Tools
    • Patient Health Questionnaire
    • CAGE Questionnaire
  • Clinical Resources
    • Guidelines for Clinical Practice
    • HealthCheck Services and Guidelines
    • Guidelines for Required Screenings
  • HIPAA Guidelines
  • Medical Pre-Authorization
  • Enrollee Verification
  • Medical Record Keeping Guidelines
  • Patient Safety
  • Pharmacy Benefits for Enrollees
  • 2020 Provider Manual
  • Prior Authorization List Search

Provider Connections

Claims & Billing
  • Submitting a Claim
  • Billing Information
  • Reporting Discrimination Complaints
  • Claims Reconsideration Notice
  • Appeals & Grievances

Provider Resources
  • Provider Quick Reference Guide
  • Quality Program Description

Provider Training
  • CareFirst CHPDC CLAS Training Video - Module 1
Don't Delay the Care You Need

FY21 MCO Provider Reimbursement Notice

Learn More

Welcome to Our Family of Health Care Providers

At CareFirst CHPDC, we stand by our providers in offering exceptional health care to DC locals and their families. It is only by partnering with providers, such as yourself, that we can truly achieve those goals.

Access the Provider Portal to:
  • View patient's eligibility status and benefit information
  • Check claims
  • Download forms
  • Request prior authorizations
Provider Portal

Useful Resources:


Provider Credentialing Signup
Provider Portal
Provider Resources
Medical Management Program Overview
Doctor / Pharmacy Locator
Medicaid Resources
Alliance Resources
Prior Authorization Code Search
Provider Communications Sign-up
  • Contact First Name*
    0
  • Contact Last Name*
    1
  • Contact Title*
    2
  • Contact Email*
    3
  • Practice Name*
    4
  • Practice NPI*
    5
  • Phone*
    6
  • Fax*
    7
  • Office Address Line 1*
    8
  • Office Address Line 2*
    9
  • City*
    10
  • State*
    11
  • Zip*
    12
  • 13

Provider update effective December 01, 2020:
CHPDC Referring NPI Communication

Learn More

Important News For Provider Community

Learn More

CareFirst CHPDC

Your Local Washington D.C.
Managed Care Organization (MCO)

Call Enrollee Services

(202) 821-1100

Send an Email
  • Government of the DC Logo
  • NCQA Audited Logo
  • NCQA Accreditation Logo
Carefirstchpdc Logo
Contact Info

Address
1100 New Jersey Ave, SE
Suite 840
Washington, DC 20003

phone
(855) 326-4831
(202) 821-1100

email us

Enrollees
  • Medicaid Enrollees
  • Alliance Enrollees
  • Find a Doctor
  • Find a Pharmacy
  • Health Benefits & Services
  • DHCF Website
Providers
  • Medicaid Tools
  • Alliance Tools
  • Resources
  • Claims & Billing
CareFirst CHPDC Logo

2021 CareFirst CHPDC All rights reserved. Designed and Powered by Inroads.

Powered by QuikWeb Developer W3C Logo

  • Privacy Policy
  • Sitemap
  • Terms & Conditions
  • Report Fraud, Waste, & Abuse
CareFirst BlueCross BlueShield Community Health Plan District of Columbia is an independent licensee of the Blue Cross and Blue Shield Association. BLUE CROSS®, BLUE SHIELD® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.

Email Sign-Up

Subscribe to Our Email List

Stay up to date on our newest products and services.