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.

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.

We also have additional specialists to help with member customer care, enrollment and retention, interpreters, transportation, health education, and more.

 View provider resources (PDF, 67 KB)

Chief Medical Officer

Jennifer A. Nuovo, M.D.
 Email: Jennifer.Nuovo@blueshieldca.com
 Meet Dr. Nuovo

News and announcements

Stay informed about announcements, notices, and important updates.

Join our provider network

Learn about joining our network.

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.

Provider Connection

Access network provider tools on Provider Connection website.

Health Care Options: (844) 580-7272  {TTY: {800) 430-7077}, Monday through Friday from 8 a.m. — 6 p.m. 

For information on Blue Shield Promise plans for your health care, call the Department of Health Care Services at (800) 430-4263 {TTY: (800) 735-2922}, or visit https://www.healthcareoptions.dhcs.ca.gov/.

Blue Shield of California Promise Health Plan is a managed care organization, wholly owned by Blue Shield of California, offering Medi-Cal Plans.

© 2002-2024. California Physicians’ Service DBA Blue Shield of California Promise Health Plan. All rights reserved.

California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association.

The provider network may change at any time. You will receive notice when necessary.

Blue Shield of California Promise Health Plan complies with applicable state laws and federal civil rights laws, and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability.

Blue Shield of California Promise Health Plan cumple con las leyes estatales y las leyes federales de derechos civiles vigentes, y no discrimina por motivos de raza, color, país de origen, ascedencial, religión, sexo, estado civil, genero, identidad de genero, orientación sexual, edad ni discapacidad.

Blue Shield of California Promise Health Plan 遵循適用的州法律和聯邦公民權利法律,並且不以種族、膚色、原國籍、血統、宗教、性別、婚姻 狀況、性別認同、性取向、年齡或殘障為由而進行歧視。

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Blue Shield of California Promise Health Plan, 3840 Kilroy Airport Way, 
Long Beach, CA  90806

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