Quickly access provider tools and information.
Drug formulariesElectronic claims and encounters management
Health education resources
Provider portal access
Download member ID cards
Set up a Provider Connection account to verify member eligibility, check claims status, and create a roster.
Learn about our policies, guidelines and standards, and find forms.
Medical benefit drug policy for Medi-Cal plansLearn about the programs supporting our network providers and members.
Provider support and incentive programsThe Blue Shield of California Promise Health Plan network comprises over 7,000 physicians, 80 hospitals and many ancillary medical professionals. Our Provider Services department develops and manages the Blue Shield of California Promise Health Plan provider network throughout our service areas. With our information systems, Internet accessibility and experienced management support, we strive to achieve optimal provider satisfaction.
As a mixed-model HMO, Blue Shield Promise contracts directly with individual physicians and other provider types under flexible reimbursement methodologies and IPA/medical groups on a capitated basis. Under the IPA/medical group arrangements, operational functions are delegated with Blue Shield Promise providing oversight.
Blue Shield Promise understands the importance of developing and maintaining solid relationships with providers as well as the barriers that the under-served population face in accessing healthcare services. It is our desire to be responsive and to work closely with our providers to better understand the challenges facing them. Our objective is to help providers improve the delivery of healthcare services.
We always welcome physicians and other healthcare professionals joining our network.
Join our network
Learn how to update your practice information
Become a California Children Services paneled provider
If you have any questions about our plan benefits, procedures and other topics, contact Provider Services. For your convenience, we now have a dedicated phone line.
Call us at (800) 468-9935 [TTY 711], 6 a.m. to 6:30 p.m., Monday through Friday.
