WORKING WITH US
At Blue Shield of California Promise Health Plan, we strive to offer a level of understanding and communication that helps both your practice and your patients. Our executive leadership includes physicians, and we value a "patients first" philosophy of care. We want to work closely with you, be responsive, and understand the challenges your practice or provider organization faces in providing care.
We also understand the barriers that underserved California communities face in accessing healthcare services. We are dedicated to offering Californians access to quality, affordable care through our Medi-Cal provider network.
Blue Shield Promise Medi-Cal plan
At Blue Shield Promise, we believe that individuals who rely on Medi-Cal should receive excellent service. We provide comprehensive coverage, attention, and access to a network of respected doctors, specialists, and hospitals for our members' healthcare needs.
Visit our Blue Shield Promise Medi-Cal Member website to learn more.
*Note that effective January 1, 2023, Cal MediConnect (CMC) plans were discontinued throughout California. Blue Shield Promise has transitioned former CMC members in Los Angeles and San Diego counties who are eligible for dual coverage, to exclusively aligned enrollment (EAE) plans, called Total Dual (HMO-DSNP) plans.
Access information and resources
As a Blue Shield Promise network provider, you can access member eligibility, claims, and authorizations information online. You will need to create an account on our Provider Connection website to access these resources.
Create a Provider Connection account
Please note: HIPAA requirements and guidelines should be adhered to, and any violations will be reported.
- Already signed up? Access Provider Connection.
- Update your provider information for the Blue Shield Promise provider directory
- Find claims and encounter resources
- Register for webinars
We are here to assist you
We encourage you to join us in our mission to provide quality care to Medi-Cal members.
If you can't find what you need online, our dedicated Provider Services phone line is available:
Phone: (800) 468-9935 6 a.m. to 6:30 p.m., Monday through Friday. Available 24/7 for hospital admissions.
News and announcements
Stay informed about announcements, notices, and important updates.
Become a California Children's Services paneled provider
We encourage our network participants to become paneled providers for California Children's Services (CCS) so that children who can benefit from this program are able to see the providers they need.
Provider support and incentive programs
Read about the programs we offer to support our network providers.
Manage electronic claims and encounters
Learn about encounter and claim submission requirements, enroll for ERA and EFT, and send EDI inquiries.
Register for webinars
Sign up for upcoming webinars about working with Blue Shield Promise and our members.
Provider information updates
Take these steps to ensure we have the latest, accurate information about your practice or facility.