provider connection
 

Verify Member Plan Participation

Our Find a Provider tool has been enhanced and has a new name so that you can verify your participation or another provider's participation for referral in a member's plan network.

BlueCard Program

Online solutions to support providers with their patients insured by other state Blue Plans.

Verify Provider Demographic Information

Privacy questions or concerns?

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PROVIDER CONNECTION SECTIONS

  • Eligibility and Benefits

    Eligibility and Benefits

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    Search for and verify eligibility and benefits for Blue Shield, Federal Employee and other Blue Plan members with online resources and tools.

  • Authorizations

    Authorizations

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    Submit medical authorization requests and view the status of requests you have submitted, using the tools and information in this section.

  • Claims

    Claims

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    Access our tools to check claims status and submit claims, and find mailing addresses, payment policies, fees and more.

  • Blue Shield Guidelines and Resources

    Guidelines and Resources

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    Find Blue Shield forms, policies, benefit information, medical guidelines, operating guidelines, manuals, patient care resources and more.

  • News and Education

    News and Education

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    Get current announcements on networks, programs, policies, legislative compliance and business topics, and educational tools.