To verify a member's plan, please either log in or register. Our goal is to help you quickly and easily find out if you, the provider, or a provider referral, participate in the member's plan.
*Blue Shield of California Member Plans Only
Eligibility & Benefits
- Request Authorization
- View Authorization Status
- Pre-Service Review for Out-of-Area Members
- Clinical Policies and Guidelines
- Prior Authorization Forms and List
PROVIDER CONNECTION SECTIONS
Eligibility and Benefitsmore
Search for and verify eligibility and benefits for Blue Shield, Federal Employee and other Blue Plan members with online resources and tools.
Submit medical authorization requests and view the status of requests you have submitted, using the tools and information in this section.
Access our tools to check claims status and submit claims, and find mailing addresses, payment policies, fees and more.
Guidelines and Resourcesmore
Find Blue Shield forms, policies, benefit information, medical guidelines, operating guidelines, manuals, patient care resources and more.
Health Care Reform for Providersmore
Get health care reform information for providers including provisions, timelines, and what you need to know.
News and Educationmore
Get current announcements on networks, programs, policies, legislative compliance and business topics, and educational tools.