Course Highlight
CHPDC Provider Training
Are you a DC Medicaid Provider? Head to the CHPDC website for even more provider training!
Courses By Topic
Looking to learn more about a specific area of our business? You can dive in to training resources on a specific topic here.
Select a category to expand:
Video walkthroughs
- Accessing the Authorizations Home Page
A look at how to get to the authorizations system. - Authorization System Basics
Things you should know before you start using the authorizations system. - Entering Outpatient Authorizations
How to enter outpatient authorizations into the system. - Entering Inpatient Authorizations
Institutional or Ancillary provider? You will want to review this module to learn how to enter inpatient authorizations. - Requesting Outpatient Extensions
All about how to request outpatient extensions. - Withdrawing Pended Authorizations
A look at how to withdraw pended authorizations.
Interactive Guides
- Entering Inpatient Authorizations
Step-by-step guide. How to enter inpatient authorizations. - Entering Outpatient Authorizations
Step-by-step guide. How to enter outpatient authorizations. - Authorization System Features and Additional Information
Additional information about working in the authorization system.
These user guides are interactive and show you how to locate information and perform common functions within CareFirst Direct.
Getting Started
- Accessing and Registering for CareFirst Direct
Want to access your organization's claim information, eligibility and benefits, and more online? Check out this interactive step-by-step guide.
For Dental Providers
- CareFirst Direct for Dental Providers
An in-depth look at CareFirst Direct for dental providers and their staff.
For Medical Providers
- Checking Claims Status in CareFirst Direct
Not sure how to check claims status? Check out this interactive step-by-step guide. - Checking Eligibility in CareFirst Direct
Need help locating eligibility and benefits information on CareFirst Direct? This guide is for you! - Claims Inquiries in CareFirst Direct
Not sure how to submit a claim inquiriy in the portal? Check out this interactive step-by-step guide. - Electronic Remittance (835) for Medical Providers
A walkthrough of 835 remittance on CareFirst Direct. - Fee Schedules in CareFirst Direct
Need to locate the fee schedules? This guide is for you! - How to Determine if an Authorization is Required guide
Not sure if a benefit requires an authorization? This guide is for you! - Provider Directory Updates and Attestation
A guide to updating and attesting directory information in compliance with the Consolidated Appropriations Act (CAA)
Self-Service
- Resetting a Password for CareFirst Direct
This step-by-step guide will review how to reset a password for CareFirst Direct! - Updating Your Profile in CareFirst Direct
Updating Your Profile in CareFirst Direct.
User Management
Note: You must have the User Management function to perform actions in these guides.
- Locking and Unlocking an Account in CareFirst Direct
Check out this interactive step-by-step guide if you need to lock or unlock a user account. - Creating a New User on CareFirst Direct
Need to create a new user for your organization? Check out this interactive step-by-step guide. Note: You must have the User Management function to perform these actions. - Adding Access to a Current User in CareFirst Direct
This interactive step-by-step guide will review how to add access to a current user. Note: You must have the User Management function to perform these actions. - Terminating an Account in CareFirst Direct
Check out this user guide to learn how to terminate a user's account. Note: You must have the User Management function to perform these actions. - Managing User Access Requests for CareFirst Direct
Not sure how to complete user access reviews? Check out this interactive step-by-step guide. Note: You must have the User Management function to perform these actions.
- Submitting Claims for Medical Providers
All you need to know about CareFirst claims submission procedures. - Corrected Claims, Inquiries and Appeals
Should you submit a corrected claim, inquiry, or appeal? Take this module to find out! - Submitting Claims for Dental Providers
All about dental claims submission procedures - and how to get help if you need it.
- Risk vs. Non-Risk
Insurance is based on the concept of risk. This module shows you how it relates back to CareFirst plans. - Health Insurance Glossary
Not sure what a term means? Take a look at our Health Insurance Glossary! - Dental Insurance Glossary
A great reference for any dental terms! - Abbreviations and Acronyms
A-Z Reference of acronyms and abbreviations you may encounter when working with CareFirst.
- Blue HPN
A deep-dive into our Blue HPN product and network. Be sure to check back in late 2021 for more updates! - Medicare Advantage Provider Training
All about our Medicare Advantage product that launched in January 2021. - Group Medicare Advantage
An overview of the CareFirst BlueCross BlueShield Group Medicare Advantage plans.