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CareFirst Resources

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EviCore is pleased to provide prior authorization services for CareFirst BlueCross BlueShield.

Prior authorization is required for the following services for their Commercial Fully Insured membership:

  • Musculoskeletal (outpatient), Cardiac Rehabilitation and Gastroenterology– for dates of service on or after October 22, 2025

 

  • Musculoskeletal (inpatient) – for dates of service on or after November 10, 2025

 

  • Radiology – for dates of service on or after August 2, 2024

 

  • Cardiology – for dates of service on or after August 2, 2024

 

 

 

Need Help?

Registration Instructions

EviCore highly recommends providers take full advantage of the online capabilities at https://www.evicore.com/provider

Here you can request prior authorization, review our nationally accepted evidence-based guidelines, and receive announcements about program updates. Access requires only your email address and a brief registration.

Register for Online Portal Orientation Session

Evidence-Based Clinical Guidelines