WORKING WITH US

We think the way you do


At Blue Shield of California Promise Health Plan, you'll find a level of understanding and communication that helps both your practice and your patients. Since our executive leadership includes physicians, we value a "patients first" philosophy of care. We strive to work closely with you, be responsive, and understand the challenges your practice or provider organization faces in providing care.

Our goals include providing programs and opportunities for our providers that demonstrate our dedication to supporting you while you are providing care. We are dedicated to offering Californians access to quality, affordable care through our Medi-Cal provider network.

*Note that effective January 1, 2023, Cal MediConnect 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.

Here are some of the resources you will find in this section:

Sign up to access our Provider Connection website

As a Blue Shield of California Promise Health Plan network participant, you can access member eligibility, claims, and authorizations information online, if you have registered and created an account.

 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.

 

Blue Shield Promise Medi-Cal plans

At Blue Shield Promise, we believe that individuals who rely on Medi-Cal should get quality attention and excellent service. Blue Shield Promise provides comprehensive coverage, attention, and a full network of respected doctors, specialists, and hospitals for our members' healthcare needs.

Visit our Blue Shield Promise Medi-Cal Member website to learn more about those plans.

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.

Name change and data migration updates

Stay informed of updates and resources that support our new infrastructure since January 1, 2019.

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: 1-844-580-7272, Monday through Friday from 8 a.m. - 6 p.m. TTY users should call 1-800-430-7077.

For information on Blue Shield Promise Cal MediConnect Plan and other Cal MediConnect options for your health care, call the Department of Health Care Services at 1-800-430-4263 (TTY: 1-800-735-2922), 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 and Cal MediConnect Plans.

© 2002-2023. 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, 601 Potrero Grande Drive, Monterey Park, CA 91755.

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