Blue Shield
Provider Connection homepage hero image

Blue Shield of California provider network tools and resources at your fingertips

Eligibility & benefits

Verify eligibility of Blue Shield of California members, other Blue plan members and Federal employees, and access associated benefits information.

Eligibility verification
Benefit summaries
Preventive health guidelines
Authorizations

Submit and confirm authorizations and approval of medical and pharmacy services prior to services being rendered.

Is medical authorization required?
Pre-service review for out-of-area members
Prior authorization forms and list
Clinical policies and guidelines
Outline of the US map with BlueCard logo

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

Provider Connection Reference Guide

Learn how to navigate the Provider Connection website and use online tools.

Get the guide
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
Network referrals

Use Find a Doctor tool to verify provider participation in the member’s plan network.

Verify now
Tools and tutorials

Find videos, FAQs, and “how to” guides to help you work with Blue Shield and care for our members.

Find tutorials
Provider news

Read the latest announcements about programs, tools, and policies.

Get the news

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