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
- Check Claim Status
- Manage Electronic Transactions
- Submit Claims for Free
- How to Submit Claims
- Prescreen Claims
- Claims Appeals & Adjustments
- Professional Fee Schedule
- Policies & Guidelines
- BlueCard Home Page
- Access Claims Routing Tool
- Check Eligibility of Blue Plan Members
- Search BlueCard Claims
- Find BlueCard Resources
- Is Authorization Required?
- Request Medical Authorization
- Request Pharmacy Authorization
- Authorization Status
- Pre-Service Review for Out-of-Area Members
- Prior Authorization Forms & List
- Clinical Policies & Guidelines
Forms & Information
- Technical Support Form
- Submit Claims with Office Ally
- Benefit Summaries
- Preventive Health Guidelines
- Manifest MedEx
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.
Access our tools to check claims status and submit claims, and find mailing addresses, payment policies, fees and more.
Submit medical authorization requests and view the status of requests you have submitted, using the tools and information in this section.
News and Educationmore
Get current announcements on networks, programs, policies, legislative compliance and business topics, and educational tools.
Guidelines and Resourcesmore
Find Blue Shield forms, policies, benefit information, medical guidelines, operating guidelines, manuals, patient care resources and more.