Webinars

In this webinar, we will review the Advance Imaging Prior Authorization step-by-step processes for Cardiology and Radiology through EviCore’s prior authorization system (CareCore National Portal). You only need to register for one date/time.

For All Providers

Miss our latest webinar? Check it out here!

Ambulatory Surgery Centers (ASC)
We will discuss the ASC Contract, Appeals, Updates and Reminders, and more.

Miss our latest ambulatory surgery center webinar? Check it out here!

Behavioral Health/Substance Use Disorder (BSD)
We will discuss Prior Authorizations/Notifications, Claims, Appeal, Updates and Reminders and more.

Miss our latest quarterly webinar?
Check it out here!

Durable Medical Equipment (DME) & Supplies
This webinar will provide an overview of information DME suppliers need to work with CareFirst BlueCross and BlueShield and CareFirst BlueChoice, Inc. (collectively "CareFirst") including authorizations, claims, available resources and much more!

Miss our latest quarterly webinar? Check it out here!

Home Health
This webinar will provide an overview of information Home Health providers need to work with CareFirst BlueCross and BlueShield and CareFirst BlueChoice, Inc. (collectively "CareFirst") including:

• Authorizations
• Claims
• Available Resources
• And much more!

Hospice
We will discuss Hospice contract information, prior authorizations, corrected claims, inquiries, and appeals, billing requirements, and more!

Watch this recorded webinar discussing the Hospice contract information, prior authorizations, corrected claims, inquiries, and appeals, billing requirements, and more!

Skilled Nursing Facilities (SNF)
We will discuss Authorizations, Claims, Updates and Reminders and more.

Missed our latest Skilled Nursing Facilities (SNF) webinar? Check it out here!

For All Providers

Behavioral Health Webinar: Alcohol Use Disorder and Liver Disease
Watch this recorded webinar to learn about alcoholic liver disease (ALD) and how to manage the stress and anxiety of liver transplants.

Behavioral Health Webinar: Emerging Substances of Abuse
Watch this recorded webinar to learn about xylazine and tianeptine, its impacts on users, and the supportive measures you can take to treat these patients.

Behavioral Health Webinar: Medication Assisted Therapy
Watch this recorded webinar moderated by Ashley Johnson. Guest speaker Lindsey Romero, MD, FASAM.

Behavioral Health Webinar: Nicotine Addiction
Watch this recorded webinar to learn about supporting patients as they find motivation to quit and stay quit from nicotine addiction.

Behavioral Health Webinar: Nutrition in Psychiatry
Watch this recorded webinar to gain a greater understanding of nutritional psychiatry and its connection with mental health.

Behavioral Health Webinar: Psychodynamic Psychopharmacology
Watch this recorded webinar to learn more about how patients experience the symptoms of their mental diagnosis while using evidence based psychiatric solutions to navigate their treatment.

Behavioral Health Webinar: Stop Fighting, Start Healing - Straight Talk About Drugs and Alcohol
Watch this recorded webinar moderated by Ashley Johnson. Guest speaker Debbie Korte from Navigator Healthcare, Inc.

Behavioral Health Webinar: Transcranial Magnetic Stimulation and Spravato for Treatment Resistant Depression
Watch this recorded webinar to learn more about the role that transcranial magnetic stimulation has in the clinical journey of treatment resistant depression.

The focus of this Behavioral Health Quarterly (Professional) will be important CareFirst updates and reminders for this specialty.

Miss our latest quarterly meeting?
Check it out here!

Join us for our semi-annual BlueCard webinar! We will be reviewing:

• What is BlueCard?
• Products that support BlueCard
• How to identify BlueCard members
• How to verify eligibility and prior authorization requirements for BlueCard members
• How to submit claims and check claims status for BlueCard members

This course is a prerequisite for BlueCard 201.

For All Providers

Want more information about BlueCard? This webinar is for you! BlueCard 201 will cover:

• Contiguous area claims filing
• Submitting claims for DME, Independent Clinical Lab, Specialty Pharmacy, Air Ambulance, and Telemedicine
• Coordination of benefits
• Medicare Advantage claims

Note: This is not an introductory course. Attendees should have a strong foundational knowledge in the BlueCard program. To learn about the BlueCard program, please take BlueCard 101 prior to this webinar.

For All Providers

CareFirst Electronic Prior Authorization Portal Training
These webinars will feature a step-by-step demonstration of the CareFirst Electronic Authorization Entry Tool launching on 1/1/25. (For providers who participate in our Commercial along with either CareFirst CHPMD and/or Advantage DualPrime networks.)

Model of Care Training and Attestation for 2024
These sessions will walk through the Model of Care training and allow you to attest to meeting the requirement. Select one session and only one person from your TIN needs to attest, unless you are a new provider.

Quarterly Webinar
The Q4 CareFirst CHPMD and Advantage DualPrime webinar will feature a step-by-step demonstration of the CareFirst Electronic Authorization Entry Tool. (For providers who participate in our Commercial along with either CareFirst CHPMD and/or Advantage DualPrime networks.)

For All Providers

Miss our latest quarterly meeting?
Check it out here!

Dental Quarterly registration is open. The focus of this Dental Quarterly will be important CareFirst updates and reminders!

For Dental Providers

Miss our latest quarterly webinar?
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Join us as we introduce the new Comprehensive Dental Reference Guide. Learn how to use the guide to look up important information on CDT codes that are applicable to your practice and how to utilize this information to make working with CareFirst easier.

Watch the recorded webinar here.

For Dental Providers

Want to minimize calls and faxes to our Utilization Team? This system allows you to:

• Enter prior auths 24/7 (except for scheduled downtime)
• Receive immediate Auth ID numbers
• Attach clinicals to the prior auth
• Monitor the status of your auth online

Select one day and time to attend training to walk you through the process of entering a prior authorization or watch the recorded webinar here.

For SNF and Hospice Providers

This webinar will review how to order In-Network and Out-of-Network Tests for Genetic Testing.

For Ordering Providers

Hospital Quarterly registration is open and there are two opportunities to attend. The focus of this Hospital Quarterly will be important CareFirst updates and reminders!

For Institutional and Ancillary Providers

Miss our latest quarterly webinar?
Check it out here!

Individual Medicare Advantage (MA PPO) Webinar for Providers

In this webinar, we will review the new CareFirst BlueCross BlueShield Individual Medicare Advantage (MA PPO) Products.

Topics include:

• Types of Plans
• How to Determine Which Networks You Participate In
• How to Identify Member ID Cards
• Verifying Eligibility and Benefits
• Authorizations
• Claims, Appeals and Disputes

Medicare Advantage HMO Referral Process

Additional webinars coming soon!

Professional Quarterly registration is open. The focus of this Professional Quarterly will be important CareFirst updates and reminders!

For All Providers

Miss our latest quarterly webinar?
Check it out here!

Join this webinar to learn how to utilize the new self-service tool and the resources available to you.

Miss our latest quarterly webinar?
Check it out here.

CareFirst has developed a Provider Profile Score in order to better understand the care provided to our members. The score is a composite of the practice's quality and member experience, cost efficiency and relationship health scores. Want to learn more about how the Provider Profile Scores are calculated? Watch this recorded webinar

For All Providers