Blue Shield of California Promise Health Plan invites you to consider becoming part of our network. Blue Shield Promise contracts with independent physician associations (IPAs) and medical groups on a capitated basis. Under the IPA/medical group arrangements, operational functions are delegated, with Blue Shield Promise providing oversight.

Our health plan also offers an opportunity for independent physicians and other provider types to contract directly with Blue Shield Promise under flexible reimbursement arrangements. 

 

Welcoming new Medi-Cal providers

Medi-Cal sometimes adds benefits that are provided by healthcare professionals who haven’t worked with us before. If you are new to the process of enrolling as a network provider, we are here to assist you. Contact us and we will connect you to the right team that can help you understand everything you need to do.

 Provider Services phone: (800) 468-9935
 

Interested in becoming part of the Blue Shield Promise provider network?

If you are interested in joining our network, you can submit a Letter of Interest in the following ways:

By email:                      

 PromiseLOI@blueshieldca.com


By mail:

 Blue Shield of California Promise Health Plan
      3840 Kilroy Airport Way,
      Long Beach, CA 90806-2452
      Attention: Provider Contracting

 

Please include the following information with your Letter of Interest:

  • Preprinted tax documents: Social Security-4 form or letter from IRS and a W/9 Form
  • National Provider Identifier (NPI): Include a printout from the National Plan and Provider Enumeration System (NPPES) Registry
  • Service area by city and county
  • Specialty services (e.g., equipment, bariatric, languages)
  • Proof of enrollment with Medi-Cal (within 12 months for new providers)
  • Professional Liability Insurance Certificate (Minimum requirement is $1M per occurrence/3M in aggregate)

 

There is a 90-day minimum turnaround for review of complete submissions. If you would like to obtain information regarding your submission, please contact Blue Shield Promise’s Provider Contracting department at (800) 468-9935.

 

We are available to assist you

We encourage you to find what you need on this website, at your convenience. When 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.

 

Blue Shield Promise Medi-Cal Provider orientation

In addition to completing the contracting and credentialing process, the Department of Health Care Services’ (DHCS) contract with Blue Shield Promise requires that all new providers participating in our network complete orientation training within 10 business days of active status. Training includes Medi-Cal Managed Care services, policies, and procedures.

To meet this training requirement, click the link below, complete the course, and sign the attestation at the end of the module.

 2023 Blue Shield Promise Medi-Cal Provider orientation (10 mins)

 

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 register and create an account on our Provider Connection website to access these resources.

 Create a Provider Connection account