Blue shield of ca provider phone number

The Blue Shield of California Provider Connection website is available to Blue Shield of California Promise Health Plan network providers for authenticated (post-login) activities such as verifying member eligibility and checking claim status.

Use Provider Connection to:

• Verify member eligibility and benefits
  Search for up-to-date eligibility and benefits information, plus member ID cards.
• Create a member roster
  Download a roster of members who have chosen you as their primary care physician or medical group.
• View authorization status
  See the status of your medical or pharmacy authorization requests.
• Check claim status
  Review claim records and explanations of benefits from the current date back to two years prior.

While Provider Connection provides tools for accessing member information, this Blue Shield Promise provider website is your resource for forms, processes, news, and other information specific to Blue Shield Promise.

If you are also part of the Blue Shield of California network, you will have a single point of access to member information, which will simplify management tasks for you.

Getting started

1. To begin using Provider Connection, your organization must register to create an account.
    
2. To learn more about Provider Connection, view the Blue Shield Promise Provider Connection Guide for detailed instructions on how to use the authenticated tools available to you.

Claims

Learn how to submit claims electronically, search our Claims Fee Schedule for Blue Shield allowances, find resources on provider appeals and adjustments, and learn more about submitting claims, rules for payment and claim status.

If you have any questions about our plan benefits, procedures and other topics, contact Provider Services. For your convenience, we now have a dedicated phone line.

Call us at (800) 468-9935 [TTY 711], 6 a.m. to 6:30 p.m., Monday through Friday.

Learn about our preventive benefit policies and ensure preventive benefits are correctly configured and applied with the right billing codes.

Find preventive health guidelines for healthy children, adolescents and adults including immunizations, screenings, patient-doctor discussion topics, and injury prevention.

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