Authorization contacts

Blue Shield of California Provider Services:

Phone: (800) 541-6652, 24 hours a day, seven days a week

Blue Shield of California Promise Health Plan Provider Services:

Phone: (800) 468-9935, 8 a.m. to 5 p.m., Monday through Friday

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 95762-9005

HMO 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) 350-8746

HMO Direct Contracting and CalPERS EPO:

Phone:(888) 732-0000
Fax: (844) 295-4638

Care Management Response Line / Transplant Line

Phone:(800) 637-2066, ext. 3507708

RN Triage Line:

Phone:(916) 350-6110
      Please listen to greeting in its entirety before leaving a message.
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 email

Blue Shield Promise Medi-Cal Member Services

Send us an email
Find contact information by service area

Blue 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
Send us an email
Other Blue plan member authorizations

BlueCard provider customer services:

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

BlueCard resources

BlueCard program information

Out-of-state member pre-service review

Policies and authorizations for out-of-state members

Verify BlueCard member's eligibility
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

General contacts

Find phone and fax numbers for Blue Shield corporate offices, provider and pharmacy services, medical management, EDI program and technical services.

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Eligibility and benefits contacts

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Claims contacts

Find phone numbers and addresses for claims, the EDI help desk, and member appeals and grievances.

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Guidelines and resources contacts

Find phone and fax numbers for compliance and ethics, disease management, wellness prevention, and more.

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Technical support request form

Request help with your log in, registration or other technical problems.

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Provider Connection Reference Guide

Find detailed instructions for activities like checking eligibility, making a referral, determining if prior authorization is necessary, prescreening claims, checking claims status, and other tools and information you need to serve our members.

View reference guide for Blue Shield providers (PDF, 3.0 MB)

View reference guide for Blue Shield Promise providers (PDF, 2.6 MB)