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Compliance hotlines
Compliance & Ethics
Call to report Code of Conduct, compliance or ethics issues.
Helpline: (888) 800-2062
Hotline: (855) 296-9083Online Reporting: Compliance & Ethics Web Hotline
Email: corporate-compliance@blueshieldca.com
Special Investigations Unit
Call to report fraud-related issues.
Helpline: (800) 221-2367
Hotline: (855) 296-9092Online 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) 296-9086Online 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) 296-9084Online Reporting: Medicare Compliance Web Hotline
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Disease management and wellness programs
Call for information on preventive health, wellness, and disease management programs.
Disease management referrals for Blue Shield of California members
To obtain a copy of the referral form, email Blue Shield of California:
Email:center.hw@blueshieldca.comSubmit a referral form using secure email or fax:
Email: bscliaison@alere.com
Fax: (877) 280-0179Population Health Management program for Blue Shield Promise members
Phone: (800) 468-9935, 8 a.m. to 5 p.m., Monday through Friday
LifeReferrals 24/7SM
(doesn't apply to Blue Shield 65 Plus)
Phone;(800) 985-2405Case management referrals for Blue Shield of California members
Using secure email, submit patient name, member ID number, and reason for referral:
Email:edhccmr@blueshieldca.com
Phone:(877) 455-6777Complex Case Management referrals for Blue Shield Promise members
Provider Services:(800) 468-9935
Fax: (323) 889-6575NurseHelp 24/7SM for Blue Shield of California members
Blue Shield of California
Center for Health & Wellness
P.O. Box 7168
San Francisco, CA 94120-7168Phone:(877) 304-0504
Email: center.hw@blueshieldca.com24/7 Nurse Advice Line for Blue Shield Promise members
Phone:(800) 609-4166 [TYY: 711]
Blue Shield Promise Transitional Care Management program
Phone:(877) 702-5566, 8 a.m. to 6 p.m., Monday through Friday
Behavioral Health Services for Blue Shield Promise members
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Member Services - Blue Shield of California
HMO and PPO
Blue Shield of California
Appeals and Grievances
P.O. Box 5588
El Dorado Hills, CA 95762-0011Members 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 91367-2555Medicare Member Services phone:(800) 776-4466, TTY 711
Standard and expedited appeal fax: (916) 350-6510
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Member Services - Blue Shield Promise
Blue Shield of California Promise Health Plan
Member Services
601 Potrero Grande Dr.
Monterey Park, CA 91755Blue Shield Promise Medicare
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
Send us an email
Find contact information by service areaBlue Shield Promise Cal MediConnect
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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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 94120-7168Phone:(800) 535-9481
Fax: (888) 697-8122
For Blue Shield Promise providers
Phone:(800) 468-9935
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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 - Friday, 8 a.m. – 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 – Friday, 8 a.m. – 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
601 Potrero Grande Drive,
Monterey Park, CA 91755-7430Phone: (800) 468-9935 [TTY 711], 8 a.m. to 5 p.m., Monday through Friday
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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 & Enrollment
P.O. Box 629017
El Dorado Hills, CA 95762Phone:(800) 258-3091
Fax: (916) 350-8860, Monday - Friday, 6:00 a.m. - 6:30 p.m.
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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
601 Potrero Grande Dr.
Monterey Park, CA 91755 -
Credentialing Department - Blue Shield of California
Phone:(888) 398-2250
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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
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Other Blue plan members information
BlueCard provider customer services:
(800) 676-2583, 6 a.m. to 9 p.m., Monday through Friday
BlueCard resources
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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
