We’ve been told by CareFirst that there is a system-wide claims processing issue in Maryland going back to September 1, 2025. CareFirst advised providers not to resubmit denied claims on our end. They stated CareFirst will automatically resubmit affected claims, but because the issue is ongoing, additional denials may continue. Each impacted claim may take up to 90 days to correct, and there is currently no known ETA for full resolution.
If you’re a provider impacted by this issue, you may want to file a complaint with the Maryland Insurance Administration (MIA) and include claim numbers (and any additional details) if you and your client agree.
MIA complaint email: lhcomplaints.mia@maryland.gov