Before you call Member Services, here are some tips to help you toward a speedy resolution.
- To protect your privacy, the customer service representative will ask for your ID number located on your Blue Shield ID card. Please have it ready.
- For questions about a claim, it helps if you have your Explanation of Benefits (EOB) available. Your EOB usually arrives four to six weeks after the claim has been submitted to Blue Shield. It contains the name of your doctor, the amount billed, the claim number and the date of service.
- If you don’t have your EOB handy, the more details you do have available, the faster your service will be. Details could include the doctor’s name, amount billed, claim number and date of service. If you're looking to determine whether a provider is in our network, have the physician's name and address on hand.
- Prior to calling about a coverage question, you may want to review your Evidence of Coverage (EOC) booklet to better understand your benefits. If you still have questions, have the EOC available for reference.
- Go to your Plan Summary page and download a copy or request that a copy be mailed to you (not available to all members).
- Contact your Human Resource department for a copy if you have health care through your employer.
- Call the Member Services number on your Blue Shield ID card and request that a copy be mailed to you.
- If you're calling about a prescription, have the correct spelling of the drug ready.
- If you have a question about a premium or dues payment (individual and family plans only) please have information about your most recent payment, including the date it was paid.
- If you are calling on behalf of a minor dependent (children under 18 in your care), you need to know his or her date of birth and subscriber ID number (located on his or her Blue Shield ID card).