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Powerful provider tools and resources at your fingertips

 Find information about working with us to provide care for our members during the COVID-19 public health emergency.

Account disabled? Change your password

If your Provider Connection account is disabled, you can change your password and log in immediately (that same day) using the new password. Click here to change your password.

Get the Blue Shield Provider Connection Guide Get the Blue Shield Promise Provider Connection Guide

 

Eligibility & benefits

Verify eligibility of Blue Shield of California, Blue Shield of California Promise Health Plan, other Blue plan and Federal Employee Program members, and access associated benefits information.

Eligibility verification
PCP/Medical group patients roster
Benefit summaries
Preventive health guidelines

Callers to our phone lines are currently experiencing long wait times. If you need information about eligibility, benefits or claims, or want to submit or review an authorization, the best way to get up-to-date information is through our on-line resources. If you absolutely need to call, please try again at a later date. We appreciate your understanding.

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BlueCard Program

The BlueCard® Program links Blue plans across the United States and abroad through a single electronic network for claims processing and reimbursement. When an out-of-area Blue plan member seeks medical care from your office, use our tools to simplify claims submission to Blue Shield of California.

BlueCard Program home page

Access Claims Routing Tool

Check eligibility of Blue plan members

Check BlueCard claim status

Find BlueCard Program resources

Quick links

Promise provider resources

Find information about Promise Medi-Cal and Cal MediConnect, our policies, procedures and programs.

Get resources
Office Ally

Go paperless by submitting claims and managing payments online for free.

Submit now
Forms

Access commonly requested forms for patient care activities, credentialing, and more.

Find forms
Blue Shield of California network referrals

Use Blue Shield of California Find a Doctor tool to verify provider participation in BSC or Promise plan network.

Verify now
Sign up for webinars

Learn about our tools and how to use them in our upcoming webinars.

Sign up now

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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.

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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.

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