Legal & Mandates
- 2015 ACA Rate Increase Justification
- Patient Rights & Responsibilities
- Health Care Fraud Prevention
- Quality Improvement
- Mental Health Parity
- MD Proposed Rate Increase Law
- Virginia Claims or Coverage Denials
- Machine Readable Data
If you have additional questions about how CareFirst protects your personal, financial and medical information, please call the CareFirst Privacy Office at 800-853-9236. Use this form to report a privacy concern.
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Protecting member's confidential information has always been a priority for CareFirst. Members have certain additional rights relating to member's protected health information, whether oral, written or electronic. The Notice of Privacy Practices explains those rights.
General information about a claim can be provided to family members or other authorized representatives to solve a question or complaint, but specific diagnostic information can only be discussed with member's written permission.
Although we do not maintain copies of member's medical records, we may request copies of member's medical records to process a claim.
Members may request access to their medical records by contacting their provider's office and following their process for accessing their medical information.
Providers are required to implement privacy policies that address the disclosure of medical information, patient access to medical information, and the storage/protection of medical information. CareFirst reviews provider confidentiality processes during pre-contractual site visits for primary care physicians.
Other Uses of Information
Other uses of member's information including personal and financial data collected by CareFirst are required or permitted by law. We will continue our commitment to keep your personal, financial and medical information private and secure. The Notice of Privacy Practices explains how member's information is used and disclosed.