Contact us

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

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

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

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 & Enrollment
       P.O. Box 629017
       El Dorado Hills, CA 95762

Phone:(800) 258-3091

Fax: (916) 350-8860, Monday - Friday, 6:00 a.m. - 6:30 p.m.

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
       601 Potrero Grande Dr.
       Monterey Park, CA 91755

Email:BSC_Credentialing@blueshieldca.com

Contact us with questions about:

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

Call the EDI Help Desk at (800) 480-1221

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 provider customer services:

(800) 676-2583, 6 a.m. to 9 p.m., Monday through Friday

BlueCard resources

BlueCard program information

Verify BlueCard member's eligibility

Claims routing tool

Federal Employee Program customer services:

(800) 824-8839, 8:30 a.m. to 4:30 p.m., Monday through Friday