Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (2024)

Welcome to Provider Connection at Blue Shield of California. We are here to help, whether you're already a network participant or just want to know more about us.

Live chat

Use live chat for questions about:

  • Claims
  • Benefits
  • Member elibility
  • How to use Provider Connection
  • Contracts
  • Credentialing
  • Demographics
  • Electronic Data Interchange (EDI)
  • Recoveries

Live chat is available:
Monday through Friday, 6 a.m. to 6:30 p.m.

LogintoProviderConnectiontostartachat

Phone

Call us for questions about:

  • Authorizations
  • Pharmacy advice
  • Claims
  • Benefits
  • Member eligibility
  • How to use Provider Connection
  • Contracts
  • Credentialing
  • Demographics
  • Electronic Data Interchange (EDI)
  • Recoveries

Simply speak your request and our voice-activated system will direct your call to the appropriate representative.

Blue Shield of California Provider Services:
Monday through Friday, 6 a.m. to 6:30 p.m.

Phone:

(800) 541-6652

Blue Shield of Promise Health Plan Provider Services:
Monday through Friday, 6 a.m. to 6:30 p.m.
Available 24/7 for hospital admissions.

Phone

(800) 468-9935

Mail

For all other Provider Services inquiries:

Blue Shield of California
P.O. Box 272540
Chico, CA 95927-2540

Blue Shield of California BlueCard Program
P.O. Box 272630
Chico, CA 95927-2630

Blue Shield of California Promise Health Plan
3840 Kilroy Airport Way
Long Beach, CA 90806-2452

Corporate headquarters

Corporate Headquarters

Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (1)Blue Shield of California
601 12th Street
Oakland, CA 94607
Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (2) Phone:(510) 607-2000

Southern Region Main Office
Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (3)Blue Shield of California
100 North Sepulveda Blvd.
El Segundo, CA 90245
Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (4) Phone:(310) 744-2580

Medicare Main Office
Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (5)Blue Shield of California
6300 Canoga Ave.
Woodland Hills, CA 91367
Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (6) Phone:(818) 598-8000

Blue Shield of California Promise Health Plan
Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (7) 3840 Kilroy Airport Way
Long Beach, CA 90806
Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (8)Phone:(800) 468-9935

Live chat is available:
Monday through Friday, 6 a.m. to 6:30 p.m.

LogintoProviderConnectiontostartachat

Shared Advantage Customer Service

Contact us with questions about:

  • Instate BlueCard benefits/eligibility information
  • Instate claim status
  • Pricing information on instate claims
  • Appeal Status on instate claims
  • Written Correspondence Status on instate claims
  • Status of payment (check information, paid information, etc.) information for instate claims
  • Provide EOB copies on instate claims
  • Authorization Inquiries

Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (9)Phone:(800) 219-0030
Monday through Friday, 6 a.m. to 6:30 p.m.

For issues related to the following functions on the Provider Connection website:

  • Password resets and logging in
  • Accessing member eligibility and benefits, claims information, or Clear Claim Connection (C3) claims prescreening simulation tool
  • Submitting prior authorization

Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (10)Phone:(800) 541-6652, 24 hours a day, seven days a week
Please have your Provider NPI or Tax ID number available when speaking with a representative.

Contact technical support

Provider information and enrollment– Blue Shield of California network

Contact us with questions about:

  • Provider network inquiries and applications
  • Address, phone, fax, and practice changes
  • Group additions/deletions
  • Credentials
  • Provider directory updates
  • Provider education
  • Contractual obligations
  • PPO related requests

Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (11)Blue Shield of California
Provider Information and Enrollment
P.O. Box 629017
El Dorado Hills, CA 95762

Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (12)Phone:(800) 258-3091

Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (13) Fax: (916) 350-8860
Monday through Friday,6 a.m. to 6:30 p.m.

Provider information and enrollment– Blue Shield of California Promise Health Plan

If you are an Ancillary provider who is interested in joining our network, you can submit a Letter of Interest by the following methods:

Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (14) By email:PromiseLOI@blueshieldca.com

Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (15) By mail: Blue Shield of California Promise Health Plan
Attention: Provider Contracting
3840 Kilroy Airport Way
Long Beach, CA 90806

    Credentialing department – Blue Shield of California

    Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (16) Email:BSC_Credentialing@blueshieldca.com

    EDI related issues

    Contact us with questions about:

    • EDI setup inquiries (270/271, 276/277, 278, 837, 835)
    • ERA setup inquiries
    • EFT setup inquiries
    • Member benefit enrollment setup inquiries (820/834)

    Call the EDI Help Desk atContact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (17)(800) 480-1221

    Pharmacy services

    Contact us for drug formulary information and to request prior authorization for outpatient prescription drugs and home self-administered injectables.

    For Blue Shield providers

    Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (18)Blue Shield of California
    Pharmacy Services
    P.O. Box 7168
    San Francisco, CA 94120-7168

    Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (19)Phone:(800) 535-9481

    Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (20)Fax: (888) 697-8122


    For Blue Shield Promise providers

    Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (21)Phone:(800) 468-9935

    BlueCard program

    BlueCard provider customer services:
    Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (22)(800) 676-25836 a.m. to 9 p.m., Monday through Friday


    BlueCard resources

    Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (23)BlueCard program information

    Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (24) Verify BlueCard member's eligibility

    Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (25) Claims routing tool

    Federal Employee Program customer services:

    Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (26) (800) 824-8839, Monday through Friday,8:30 a.m. to 4:30 p.m.

    Eligibility and benefits contacts

    Find phone and fax numbers for Blue Shield eligibility and benefits contacts.

    Get contact information

    Authorization contacts

    Contact Medical Care Solutions for questions about authorization requests, preauthorization, medical policy, and more.

    Get authorizations contact information

    Claims contacts

    Find phone numbers and addresses for claims, the EDI help desk, and member appeals and grievances.

    Get claims contact information

    Guidelines and resources contacts

    Find phone and fax numbers for compliance and ethics, disease management, wellness prevention, and more.

    Get contact information

    Technical support request form

    Request help with your log in, registration or other technical problems.

    Request tech support

    Provider Connection Reference Guide

    Find detailed instructions for activities like checking eligibility, making a referral, determining if prior authorization is necessary, prescreening claims, checking claims status, and other tools and information you need to serve our members.

    Provider Connection Reference Guide (PDF, 4.4 MB)

    About Provider Connection

    Learn about the range of information and tools available to Blue Shield of California providers on this website

    Learn more about Provider Connection

    Company holidays

    Operation centers will be closed in observance of Blue Shield of California’s holiday schedule, with the exception of Medicare Member Services.

    View holiday schedule

    Contact Provider Connection at Blue Shield of California | Blue Shield of CA Provider (2024)
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