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.
Use live chat for questions about:
- Claims
- Benefits
- Member eligibility
- How to use Provider Connection
- Contracts
- Credentialing
- Demographics
- Electronic Data Interchange (EDI)
- Recoveries
Live chat is available:
6 a.m. to 6:30 p.m. Pacific time, Monday through Friday
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:
6 a.m. to 6:30 p.m. Pacific time, Monday through Friday
Available 24/7 for hospital admissions
Phone: (800) 541-6652
Blue Shield of California Promise Health Plan Provider Services:
6 a.m. to 6:30 p.m. Pacific time, Monday through Friday
Available 24/7 for hospital admissions.
Phone (800) 468-9935
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
Blue Shield of California
601 12th Street
Oakland, CA 94607
Phone: (510) 607-2000
Southern Region Main Office
Blue Shield of California
100 North Sepulveda Blvd.
El Segundo, CA 90245
Phone: (310) 744-2580
Medicare Main Office
Blue Shield of California
6300 Canoga Ave.
Woodland Hills, CA 91367
Phone: (818) 598-8000
Blue Shield of California Promise Health Plan
3840 Kilroy Airport Way
Long Beach, CA 90806
Phone: (800) 468-9935
Live chat is available:
6 a.m. to 6:30 p.m. Pacific time, Monday through Friday
Shared Advantage Customer Service
- In-state BlueCard benefits/eligibility information
- In-state claim status
- Pricing information on in-state claims
- Appeal Status on in-state claims
- Written Correspondence Status on in-state claims
- Status of payment (check information, paid information, etc.) information for in-state claims
- Provide EOB copies on in-state claims
- Authorization inquiries
Phone: (800) 219-0030
6 a.m. to 6:30 p.m. Pacific time, Monday through Friday
Provider Connection Customer Service
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
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.
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
Blue Shield of California
Provider Information and Enrollment
P.O. Box 629017
El Dorado Hills, CA 95762
Phone:(800) 258-3091
Fax: (916) 350-8860
6 a.m. to 6:30 p.m. Pacific time, Monday through Friday
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:
By email: PromiseLOI@blueshieldca.com
By mail: Blue Shield of California Promise Health Plan
Attention: Provider Contracting
3840 Kilroy Airport Way
Long Beach, CA 90806
Chief Medical Officer – Blue Shield of California Promise Health Plan
Jennifer Nuovo, M.D.
Email: jennifer.nuovo@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 at (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
Blue Shield of California
Pharmacy Services
P.O. Box 7168
San Francisco, CA 94120-7168
Phone: (800) 535-9481
Fax: (888) 697-8122
For Blue Shield Promise providers
Phone: (800) 468-9935
BlueCard program
BlueCard provider customer services:
(800) 676-2583 6 a.m. to 9 p.m. Pacific time, Monday through Friday
BlueCard resources
Verify BlueCard member's eligibility
