Blue Shield of California Promise Health Plan
Your Provider Manual specifically addresses the contractual and regulatory requirements of Blue Shield of California Promise. This manual is intended as a guideline for the provision of covered services to Blue Shield of California Promise Health Plan Members. This manual contains policies, procedures and general reference information including minimum standards of care, which are required of Blue Shield of California Promise Health Plan Providers. Following requirements defined in the manual ensures that our members receive comprehensive care.
From time to time we will need to update our website as our policies change, or as LA Care, CMS, and/or DHS requirements change. We will keep you informed of those changes as they occur. As a Blue Shield of California Promise Provider, we hope this information will help you better understand how Blue Shield of California Promise operates.
Although this manual contains a comprehensive summary of Blue Shield of California Promise policies and procedures, additional protocols regarding plan administrative practices, full plan medical policies, and other detailed information are available to the provider upon request by calling Blue Shield of California Promise Provider Relations Department at 1-323-889-6638.
Instructions related to Transactions based on ASC X12 Implementation Guides, version 004050.
Health Care Provider Directory (EDI 274)
Standard Companion Guide Transaction Information
Health Care Provider Directory Flat File Version for EDI 274
Flat File Version for EDI 274 Provider Information