Access our tools to check claims status and submit claims, and find mailing addresses, payment policies, fees and more.
How to prescreen claims (PDF, 405 KB)
Introduction to Clear Claim Connection (C3) (PDF, 816 KB)
Clean claims submission tips (PDF, 24 KB)
Learn how to submit claims and receive payments using Electronic Data Interchange (EDI) for faster processing and payment.
Intro to EDI, EFT and ERA (PDF, 424 KB)
EDI, EFT and ERA frequently asked questions (PDF, 135 KB)
Search the professional fee schedule for Blue Shield of California allowances, and learn how we establish allowances.
Find resources and information regarding refund requests, provider appeal process, instructions, dispute resolution forms, and more.
Learn more about submitting claims and rules for payment, including time frames for submitting, contesting or adjusting a claim as well as special guidelines for electronic and paper claim forms.
To quickly and easily find out if you, the provider, or a provider referral, participate in the member's plan network*, either log in or register for Provider Connection.
*Blue Shield of California member plans only
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If you don't have a Provider Connection account, you will need to register before logging in.Register now