WORKING WITH US

We think the way you do

 

At Blue Shield of California Promise Health Plan, you'll find a level of understanding and communication that helps both your practice and your patients. Since our executive leadership includes physicians, we value a "patients first" philosophy of care. We strive to work closely with you, be responsive, and understand the challenges your practice or provider organization faces in providing care.

Our goals include providing programs and opportunities for our providers that demonstrate our dedication to supporting you when providing care. Through our Medi-Cal and Cal MediConnect dual-coverage plans and provider networks, we are dedicated to offering Californians access to quality, affordable care.

*Note that effective January 1, 2021, the Blue Shield Promise contract with Medicare has been transferred to Blue Shield of California, which now manages our Medicare Advantage program.

Here are some of the resources you will find in this section:

 

Sign up to access the Provider Connection
As a Blue Shield of California Promise Health Plan network participant, you can access member eligibility, claims, and authorizations information online.

 Create a Provider Connection account

Please note: HIPAA requirements and guidelines should be adhered to, and any violations will be reported.

We are here to assist you

We encourage you to join us in our mission to provide quality care to Medi-Cal and Cal MediConnect members.

If you can't find what you need online, our dedicated Provider Services phone line is available: 
 Phone: (800) 468-9935 6 a.m. to 6:30 p.m., Monday through Friday.
 Review our Quick Reference Phone Guide (PDF, 129 KB)

Our plans

Blue Shield Promise Medi-Cal

At Blue Shield Promise, we believe that individuals who rely on Medi-Cal should get quality attention and excellent service. Blue Shield of California Promise Health Plan provides comprehensive coverage, attention, and a full network of respected doctors, specialists, and hospitals for our members' healthcare needs.
 Learn more about Blue Shield Promise Medi-Cal

 

Blue Shield Promise Cal MediConnect

Blue Shield Promise offers dual coverage through our Cal MediConnect plans.  

 Learn more about Blue Shield Promise Cal Medi-Connect


Contact us if you have any questions about any of our plans or coverage:

 

 Medi-Cal, Los Angeles County: (800) 605-2556 [TTY: 711], 8 a.m. to 6 p.m., Monday through Friday
 Medi-Cal, San Diego County: (855) 699-5557 [TTY: 711], 8 a.m. to 6 p.m., Monday through Friday
 Cal MediConnect: (855) 905-3825 [TTY: 711], 8 a.m. to 8 p.m., seven days a week

News and announcements

Stay informed about announcements, notices, and important updates.

Join our provider network

Learn about joining our network.

Become a California Children's Services paneled provider

We encourage our network participants to become paneled providers for California Children's Services (CCS) so that children who can benefit from this program are able to see the providers they need.

Provider support and incentive programs

Read about the programs we offer to support our network providers.

Manage electronic claims and encounters

Learn about encounter and claim submission requirements, enroll for ERA and EFT, and send EDI inquiries.

Register for webinars

Sign up for upcoming webinars about working with Blue Shield Promise and our members.

Name change and data migration updates

Stay informed of updates and resources that support our new infrastructure since January 1, 2019.

Provider information updates

Take these steps to ensure we have the latest, accurate information about your practice or facility.

Provider Connection

Access network provider tools on Provider Connection website.

Health Care Options: 1-844-580-7272, thứ Hai đến thứ Sáu, từ 8 giờ sáng - 6 giờ chiều. Người dùng TTY nên gọi số 1-800-430-7077.

Để biết thông tin về Blue Shield Promise Cal MediConnect Plan và các tùy chọn Cal MediConnect khác dành cho dịch vụ chăm sóc sức khỏe của bạn, hãy gọi cho Sở Dịch vụ Chăm sóc Sức khỏe theo số 1-800-430-4263 (TTY: 1-800-735-2922), hoặc truy cập https://www.healthcareoptions.dhcs.ca.gov/.

Blue Shield of California Promise Health Plan là một tổ chức chăm sóc được quản lý, thuộc sở hữu hoàn toàn của Blue Shield of California, cung cấp các Chương trình Medi-Cal và Cal MediConnect.

© 2002-2023. Dịch vụ Bác sĩ California, tên thương mại là Blue Shield of California Promise Health Plan. Đã đăng ký Bản quyền.

Dịch vụ Bác sĩ California, tên thương mại là Blue Shield of California Promise Health Plan, là đơn vị được cấp phép độc lập của Blue Shield Association.

Mạng lưới nhà cung cấp có thể thay đổi bất cứ lúc nào. Quý vị sẽ nhận được thông báo khi cần..

Blue Shield of California Promise Health Plan tuân thủ luật hiện hành của tiểu bang và luật dân quyền liên bang, đồng thời không phân biệt đối xử dựa trên chủng tộc, màu da, nguồn gốc quốc gia, tổ tiên, tôn giáo, giới tính, tình trạng hôn nhân, giới tính, bản dạng giới, khuynh hướng tình dục, tuổi tác, hoặc khuyết tật.

Blue Shield of California Promise Health Plan cumple con las leyes estatales y las leyes federales de derechos civiles vigentes, y no discrimina por motivos de raza, color, país de origen, ascedencial, religión, sexo, estado civil, genero, identidad de genero, orientación sexual, edad ni discapacidad.

Blue Shield of California Promise Health Plan 遵循適用的州法律和聯邦公民權利法律,並且不以種族、膚色、原國籍、血統、宗教、性別、婚姻 狀況、性別認同、性取向、年齡或殘障為由而進行歧視。

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Blue Shield of California Promise Health Plan, 3840 Kilroy Airport Way, Long Beach, CA  90806

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