Join the Blue Shield of California provider network

For all Blue Shield direct contracted providers

Upon submission of a completed application packet, Blue Shield will begin the review process. If the application is approved to move forward, you will be contacted to begin the credentialing and contracting process.

 Letter of Intent (PDF, 146 KB).

Record Application Form (complete all fields applicable to your specialty):

 Individual practitioner record application form (PDF, 741 KB).

 Provider group/facility record application form (PDF, 788 KB)

Complete both the Letter of Intent and Record Application Form and submit via email to:

  Email: BSCPrvdrrInformationEnrollment@blueshieldca.com.

Applications are to be dated no more than thirty days from submission

The standard turnaround time for application review is between 30 and 60 days.

If approved to proceed, the below documents are required to begin contracting. Please assure these are ready at time of application submission.

Individuals

• Individuals must have active license and Type 1 NPI
• If using EIN a W-9 or Pre-printed Tax Document from IRS (if new provider)
• Active Credentialing for contracting

Group

• Type 2 NPI
• If using EIN a W-9 or Pre-printed Tax Document from IRS (if new provider)
• If incorporated – Articles of Incorporation from CA Secretary of State
• If using a Fictitious Name a Fictitious Name Permit or Fictitious Name Statement may be required.

For general contracting inquiries, or for changes to your contracted TIN, name, or ownership, please email:

 BSCProviderNetworks@blueshieldca.com

For questions on credentialing status, please email:

 BSCCredentialingInquiry@blueshieldca.com.

For demographic and roster inquiries, please contact:

 BSCProviderInfo@blueshieldca.com, or by phone at (800) 258-3091

Processing and participation

Note: If you submitted a contract to Blue Shield prior to 4/28/2025, there is no need to submit an application packet. If you have questions, please contact BSCProviderNetworks@blueshieldca.com.

For direct contract providers, receipt of credentialing approval does not provide you with participating status in network. Blue Shield will assign the effective date for your participating status based upon approval from the Credentialing Committee and the Contracting Department. Services rendered to Blue Shield members prior to this effective date will process as out-of-network.

A copy of the executed Independent Provider Agreement including the assigned effective date will be returned to you after processing.

If you are wanting to join the Blue Shield of California Promise Health Plan (Blue Shield Promise) line of business which is exclusively in Los Angeles and San Diego counties, please go to Join the Blue Shield of California Promise Health Plan provider network. 

More information

To learn more about why contracting with Blue Shield is the right decision for your practice, and what we requrire, view these documents.

 Who's who in the world of Blue (PDF, 203 KB)

Blue Shield independent physician and provider manual

 California Physicians’ Service Blue Shield of California bylaws (PDF, 124 KB)

Read about what we require from our physicians and other healthcare professionals who participate in our Blue Shield Provider Networks.