Guidelines and resources contacts
Blue Shield of California Provider Services:
Download phone quick reference guide (PDF, 145 KB)
Phone: (800) 541-6652 24 hours a day, seven days a week
Blue Shield of California Promise Health Plan Provider Services:
Download phone quick reference guide (PDF, 129 KB)
Phone: (800) 468-9935 Monday through Friday, 8 a.m. to 5 p.m.
Compliance hotlines
Compliance and Ethics
Call to report Code of Conduct, compliance or ethics issues.
Hotline: (855) 296-9083
Online Reporting: Compliance and Ethics web hotline
Email: corpcomp@blueshieldca.com
Special Investigations Unit
Call to report fraud-related issues.
Helpline: (800) 221-2367
Hotline: (855) 296-9092
Online Reporting: Special Investigations Web Hotline
Email: stopfraud@blueshieldca.com
Privacy
Call to report privacy or confidentiality issues (mishandling or unauthorized disclosure of IIPI or PHI).
Helpline: (888) 266-8080
Hotline: (855) 296-9086
Online Reporting: Privacy Web Hotline
Email: privacy@blueshieldca.com
Medicare Compliance
Call to report Medicare-related legal or compliance issues.
Helpline: (800) 445-2517
Hotline: (855) 296-9084
Online Reporting: Medicare Compliance Web Hotline
Email: Medicare.Compliance@blueshieldca.com
Disease management and wellness programs
Call for information on preventive health, wellness, and disease management programs.
Case management referrals for Blue Shield of California members
Download the Case Management referral form (PDF, 119 KB).
Submit a referral form using secure email or fax:
Email: CMReferral@blueshieldca.com
Fax: (877) 280-0179
Wellvolution®
Wellvolution® provides access to lifestyle-based tools and support to help members lose weight, treat diabetes, support mental health, and more. These clinically proven programs are available at no additional cost for Blue Shield and Blue Shield Promise members 18 years and older.
Blue Shield members can go to Wellvolution.com to learn more.
Blue Shield Promise members can go to Wellvolution.com/Medi-Cal to learn more.
Health Education Classes for Blue Shield Promise members
The Health Education Referral Form can be found on Provider Forms.
Email: BlueShieldCAHealthEducation@blueshieldca.com
Population Health Management program for Blue Shield Promise members
Phone: (800) 468-9935 Monday through Friday, 8 a.m. to 5 p.m.,
Find information and contacts
LifeReferrals 24/7SM
(doesn't apply to Blue Shield 65 Plus)
Phone; (800) 985-2405
NurseHelp 24/7SM for Blue Shield of California members
Phone: (877) 304-0504
24/7 Nurse Advice Line for Blue Shield Promise members
Phone: (800) 609-4166 (TTY: 711)
Blue Shield Promise Transitional Care Management program
Phone: (800) 468-9935 Monday through Friday, 6 a.m. to 6:30 p.m. Available 24/7 for hospital admissions.
Behavioral Health Services for Blue Shield Promise members
Member Services – Blue Shield of California
HMO and PPO
Blue Shield of California
Appeals and Grievances
P.O. Box 5588
El Dorado Hills, CA 95762-0011
Members should call the first number on the back of their member ID card for appeals inquiries.
Blue Shield 65 Plus (HMO)
Blue Shield of California
Grievance Resolution Department
6300 Canoga Avenue
Woodland Hills, CA 91367-2555
Medicare Member Services phone: (800) 776-4466 (TTY: 711)
Standard and expedited appeal fax: (916) 350-6510
Member Services – Blue Shield Promise
Blue Shield of California Promise Health Plan
Member Services
3840 Kilroy Airport Way
Long Beach, CA 90806
Blue Shield Promise Medi-Cal
Send us an email
Find contact information by service area
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
Provider Services – Blue Shield of California
Call for questions about:
- Member eligibility
- Blue Shield Express Line
- Claims/billing questions
- Plan benefits
- Billing address/forms
- Assistance with language other than English
- Locating network providers-provider directories
HMO and PPO:
Blue Shield of California
Customer Services
P.O. Box 272540
Chico, CA 95927
Phone: (800) 541-6652 Monday through Friday, 8 a.m. to 5 p.m.
Blue Shield 65 Plus (HMO):
Blue Shield of California
P.O. Box 272640
Chico, CA 95927-2640
Phone: (800) 541-6652 (TTY: 711) Monday through Friday, 8 a.m. to 5 p.m.
Fax: (818) 228-5137 or (818) 228-5130
Provider Services – Blue Shield Promise
Call for questions about:
- Member eligibility
- Plan benefits
- Claims/billing questions
- Member authorizations
Blue Shield of California Promise Health Plan
3840 Kilroy Airport Way
Long Beach, CA 90806
Phone: (800) 468-9935 (TTY: 711) Monday through Friday, 8 a.m. to 5 p.m.,
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 Monday through Friday, 6 a.m. to 6:30 p.m.
Provider information and enrollment – Blue Shield Promise
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
Credentialing Department – Blue Shield of California
Phone:(888) 398-2250
Email:BSCInitialApp@blueshieldca.com
Technical services
For technical issues with the Provider Connection website including password resets and problems logging in, please contact our Provider Services support desk.
Phone:(800) 541-6652
Online form:Technical support request
Other Blue plan members information
BlueCard provider customer services:
(800) 676-2583, 6 a.m. to 9 p.m., Monday through Friday
BlueCard resources
Policies and authorizations for out-of-state members
Federal Employee Program members information
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.
Eligibility and benefits contacts
Find phone and fax numbers for Blue Shield eligibility and benefits contacts.
Authorization contacts
Contact Medical Care Solutions for questions about authorization requests, preauthorization, medical policy, and more.
Claims contacts
Find phone numbers and addresses for claims, the EDI help desk, and member appeals and grievances.
Technical support request form
Request help with your log in, registration or other technical problems.
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.
About Provider Connection
Learn about the range of information and tools available to Blue Shield of California providers on this website.
Company holidays
Operation centers will be closed in observance of Blue Shield of California’s holiday schedule, with the exception of Medicare Member Services.