WORKING WITH US

We think the way you do

At Blue Shield of California Promise Health Plan, you'll find a level of understanding and communication that helps both your practice and your patients. Since our executive leadership includes physicians, we value a "patients first" philosophy of care. We strive to work closely with you, be responsive, and understand the challenges your practice or provider organization faces in providing care.

Our goals include providing programs and opportunities for our providers that demonstrate our dedication to supporting you when providing care. Through our Medi-Cal and Cal MediConnect dual-coverage plans and provider networks, we are dedicated to offering Californians access to quality, affordable care.

*Note that effective January 1, 2021, the Blue Shield Promise contract with Medicare has been transferred to Blue Shield of California, which now manages our Medicare Advantage program.

Here are some of the resources you will find in this section:

 

Sign up to access the Provider Connection
As a Blue Shield of California Promise Health Plan network participant, you can access member eligibility, claims, and authorizations information online.

 Create a Provider Connection account

Please note: HIPAA requirements and guidelines should be adhered to, and any violations will be reported.

We are here to assist you

We encourage you to join us in our mission to provide quality care to Medi-Cal and Cal MediConnect members.

If you can't find what you need online, our dedicated Provider Services phone line is available: 
 Phone: (800) 468-9935 6 a.m. to 6:30 p.m., Monday through Friday.
 Review our Quick Reference Phone Guide (PDF, 129 KB)

Our plans

Blue Shield Promise Medi-Cal

At Blue Shield Promise, we believe that individuals who rely on Medi-Cal should get quality attention and excellent service. Blue Shield of California Promise Health Plan provides comprehensive coverage, attention, and a full network of respected doctors, specialists, and hospitals for our members' healthcare needs.
 Learn more about Blue Shield Promise Medi-Cal

 

Blue Shield Promise Cal MediConnect

Blue Shield Promise offers dual coverage through our Cal MediConnect plans.  

 Learn more about Blue Shield Promise Cal Medi-Connect


Contact us if you have any questions about any of our plans or coverage:

 

 Medi-Cal, Los Angeles County: (800) 605-2556 (TTY: 711]) 8 a.m. to 6 p.m., Monday through Friday
 Medi-Cal, San Diego County: (855) 699-5557 (TTY: 711), 8 a.m. to 6 p.m., Monday through Friday
 Cal MediConnect: (855) 905-3825 (TTY: 711), 8 a.m. to 8 p.m., seven days a week

News and announcements

Stay informed about announcements, notices, and important updates.

Join our provider network

Learn about joining our network.

Become a California Children's Services paneled provider

We encourage our network participants to become paneled providers for California Children's Services (CCS) so that children who can benefit from this program are able to see the providers they need.

Provider support and incentive programs

Read about the programs we offer to support our network providers.

Manage electronic claims and encounters

Learn about encounter and claim submission requirements, enroll for ERA and EFT, and send EDI inquiries.

Register for webinars

Sign up for upcoming webinars about working with Blue Shield Promise and our members.

Name change and data migration updates

Stay informed of updates and resources that support our new infrastructure since January 1, 2019.

Provider information updates

Take these steps to ensure we have the latest, accurate information about your practice or facility.

Provider Connection

Access network provider tools on Provider Connection website.

醫療保健方案處:1-844-580-7272,週一至週五上午8點至下午6點。 聽障和語障用戶應致電1-800-430-7077。

有關 Blue Shield Promise Cal MediConnect Plan和您的醫療保健的其他 Cal MediConnect選項的資訊,請致電醫療保健服務部1-800-430-4263(聽障和語障專線:1-800-735-2922)或訪問 https://www.healthcareoptions.dhcs.ca.gov/.

Blue Shield of California Promise Health Plan是一家管理式護理組織,由Blue Shield of California全資擁有,提供Medi-Cal和Cal MediConnect 計劃。

© 2002-2023. 年California Physicians’ Service DBA Blue Shield of California Promise Health Plan版權所有。保留所有權利。

California Physicians’ Service DBA Blue Shield of California Promise Health Plan是Blue Shield Association的獨立持照者。

醫療網可能隨時更改。必要時會通知您。

Blue Shield of California Promise Health Plan遵守相關的州和聯邦民權法律規定,不會因為種族、膚色、民族起源、祖先、宗教、性別、婚姻狀態、性別認同、性傾向、年齡或殘障而歧視任何人。

Blue Shield of California Promise Health Plan cumple con las leyes estatales y las leyes federales de derechos civiles vigentes, y no discrimina por motivos de raza, color, país de origen, ascedencial, religión, sexo, estado civil, genero, identidad de genero, orientación sexual, edad ni discapacidad.

Blue Shield of California Promise Health Plan 遵循適用的州法律和聯邦公民權利法律,並且不以種族、膚色、原國籍、血統、宗教、性別、婚姻 狀況、性別認同、性取向、年齡或殘障為由而進行歧視。

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

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