Request help with your log in, registration or other technical problems.
* Marks required fields
We'll answer your question via e-mail. In the meantime, may we call you during business hours if we need additional information? If so, please enter your number.
Blue Shield Provider Identification Number (PIN) or Tax Identification Number (TIN)
(associated with PIN/TIN above)
Copy and paste the address.Example: https://www.blueshieldca.com/home/home_503a.sp