blue shield logo
Skip to content
Blue Shield of California Provider Connection Homepage
Eligibility and benefits
Search for and verify eligibility and benefits for Blue Shield of California, Blue Shield of California Promise Health Plan, Federal Employee Program and other Blue plan members with online resources and tools.
Eligibility tools | Benefit summaries | Preventive service policies and health guidelines | Additional resources
Eligibility tools

Verify and learn more about eligibility of Blue Shield of California, Blue Shield Promise, Federal Employee Program and other Blue plan members. Download rosters of patients who have selected you as their personal physician or belong to your IPA / medical group.

Verify eligibility
Verify member eligibility by subscriber ID or name.
Member rosters
Download a list of members who have chosen you as their Personal Physician or medical group.
Provider Self-Service Reporting
Access data, reporting, and analytic information to better manage performance and improve quality scores and metrics
Benefit summaries

Get information about the variety of benefits available to our members.

If you have questions or would like more information, call Provider Information & Enrollment:

Summary of Benefits and Coverage
Access SBC documents for IFP, Small Business and Mid/Large Group plans.
Summary of Benefits for Blue Shield Medicare Advantage - Plan H0504
Download the IMAPD Summary of Benefits.
Summary of Benefits for Blue Shield Medicare Advantage - Plan H5928
Download the IMAPD Summary of Benefits.
Blue Shield Promise Medi-Cal benefits
View benefits information for Los Angeles and San Diego counties.
Summary of Benefits for Blue Shield Promise Cal MediConnect
View SBCs in multiple languages.
Preventive service policies and health guidelines

Learn about our preventive benefit policies and ensure preventive benefits are correctly configured and applied with the right billing codes.

Find preventive health guidelines for healthy children, adolescents and adults including immunizations, screenings, patient-doctor discussion topics, and injury prevention.

1B Preventive Health Service policies
Download [Post USPSTF (Including Women’s Preventive)] (PDF, 506 KB)
Preventive health guidelines
Review guidelines for healthy children, adolescents and adults.
Additional resources

Access these additional resources to help you find and manage member eligibility and benefits.

Benefits & member ID cards
See samples of member ID cards, current benefit plans and networks.

Eligibility and benefits contacts
See phone numbers, addresses, and more.

Primary Care Reimagined Support
Access program information, resources, and support materials.

Value-based reporting
View member attribution and patient data about visits, risk scores and provider incentive opportunities.

Specialty Care Reimagined Resources
View episodes of care reports and support materials

Accountable Care Alliance reporting
View ACO financial, quality, member experience, and utilization reporting.

You are now leaving Provider Connection

We're redirecting you to Blue Shield of California's Find a doctor search.

When asked to log in, choose Continue as a guest.

Continue     Cancel

Verify member's plan participation

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

Log in to continue with member verification.

Provider login

If you don't have a Provider Connection account, you will need to register before logging in.

Register now
Without logging in, you can do a general search but the search results may include providers that do not accept the member's plan. We advise you to log in first.

Continue with general search