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Blue Shield of California member authorizations
Contact us with questions about:
- Authorization requests for referrals – Auth logs and tracking numbers
- Preauthorization for POS (N/A for Medicare)
- Blue Shield medical policy
- Emergency services
- Denials
- All admissions – notification to Blue Shield and concurrent review
- DME/HME & Home Health (if health plan is financially responsible)
- Clinical trials
- Nurse triage line
- General medical management questions pertaining to prior authorization, case management, continuity of care, investigational and experimental, medical policy and clinical issues
- Transplant requests
- Second opinions
Blue Shield of California
Medical Care Solutions
P.O. Box 629005
El Dorado Hills, CA 95762-9005HMO and PPO:
Phone:(800) 541-6652 (Option 6)
Fax: (844) 295-4637
Monday – Friday, 8 a.m.– 5 p.m.Blue Shield 65 Plus (HMO):
Phone:(800) 541-6652 (Option 6)
Fax: (844) 696-0975
Monday – Friday, 8 a.m.– 5 p.m.FEP (PPO):
Phone:(800) 633-4581 (Option 6)
Fax: (916) 350-8746HMO Direct Contracting and CalPERS EPO:
Phone:(888) 732-0000
Fax: (844) 295-4638Care Management Response Line / Transplant Line
Phone:(800) 637-2066, ext. 3507708
RN Triage Line:
Phone:(916) 350-6110
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Blue Shield Promise member authorizations
If you have questions related to Blue Shield Promise medical or pharmacy authorizations, contact Provider Services at (800) 468-9935.
Blue Shield Promise Medicare Member Services
Contact us 8 a.m. - 8 p.m., seven days a week from October 1 through March 31, and Monday through Friday from April 1 through September 30:
Phone: (800) 544-0088 [TTY: 711]
Fax: (866) 712-2731
Send us an emailBlue Shield Promise Medi-Cal Member Services
Send us an email
Find contact information by service areaBlue Shield Promise Cal MediConnect Member Services
Contact us 8 a.m. - 8 p.m., seven days a week:
Phone: (855) 905-3825 [TTY: 711]
Fax: (323) 889-5416
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Other Blue plan member authorizations
BlueCard provider customer services:
(800) 676-2583, 6 a.m. to 9 p.m., Monday through Friday
BlueCard resources
Out-of-state member pre-service review
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Federal Employee Program member authorizations
Federal Employee Program customer services:
(800) 824-8839, 8:30 a.m. to 4:30 p.m., Monday through Friday
