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 when providing care. Through our Medi-Cal and Cal MediConnect dual-coverage plans and provider networks, we are dedicated to offering Californians access to quality, affordable care.
*Note that effective January 1, 2021, the Blue Shield Promise contract with Medicare has been transferred to Blue Shield of California, which now manages our Medicare Advantage program.
Here are some of the resources you will find in this section:
Sign up to access the Provider Connection
As a Blue Shield of California Promise Health Plan network participant, you can access member eligibility, claims, and authorizations information online.
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 the Provider Connection.
- Update your provider information for Blue Shield Promise
- 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 and Cal MediConnect 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.
Review our Quick Reference Phone Guide (PDF, 129 KB)
Blue Shield Promise Medi-Cal
At Blue Shield Promise, we believe that individuals who rely on Medi-Cal should get quality attention and excellent service. Blue Shield of California Promise Health Plan provides comprehensive coverage, attention, and a full network of respected doctors, specialists, and hospitals for our members' healthcare needs.
Learn more about Blue Shield Promise Medi-Cal
Blue Shield Promise Cal MediConnect
Blue Shield Promise offers dual coverage through our Cal MediConnect plans.
Learn more about Blue Shield Promise Cal Medi-Connect
Contact us if you have any questions about any of our plans or coverage:
Medi-Cal, Los Angeles County: (800) 605-2556 [TTY: 711], 8 a.m. to 6 p.m., Monday through Friday
Medi-Cal, San Diego County: (855) 699-5557 [TTY: 711], 8 a.m. to 6 p.m., Monday through Friday
Cal MediConnect: (855) 905-3825 [TTY: 711], 8 a.m. to 8 p.m., seven days a week
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.