Blue shield of california provider phone number

Blue shield of california provider phone number. skip to main content Select the Site help link in the upper right corner of the page for a list of site tours and user guides. m. Nov 14, 2022 · California Physician’s Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Both networks provide you with access to over 68,000 convenient retail pharmacies nationwide including grocery, discount, and drug stores. Monday through Friday, from 7 a. To comply with state mandates including SB137, providers who do not provide us with informational updates and are in-network might not appear in our search. Provider Services – Blue Shield of California. Contact Blue Shield of California for member services, provider support, and health plan information. Trio and Tandem members, call us at the Shield Concierge number on the back of your member ID card. , Monday through Friday Blue Shield of California Promise Health Plan Member Services 3840 Kilroy Airport Way Long Beach, CA 90806 Blue Shield of California is contracted with National Imaging Associates, Inc. Blue Shield of California is an HMO and PDP plan with a Medicare contract. Members of the Federal Employee Blue Cross/Blue Shield Service Benefit Plan (FEP) are subject to different prior authorization requirements. Fax: (916) 350-8860. Blue Shield providers can submit medical and pharmacy authorizations online in AuthAccel. Box 272660 Chico, CA 95927-2660. For Blue Shield Medicare Advantage Plans: Blue Shield of California is an HMO, HMO D-SNP, PPO and a PDP plan with a Medicare contract and a contract with the For Blue Shield providers. Blue Shield of California complies with applicable state laws and federal civil rights laws, and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital Explore Blue Shield of CA Individual and Family healthcare HMO and PPO plans for medical, dental, vision and life coverage. Blue Shield of California Promise Health Plan Provider Services: Phone: (800) 468-9935, 6 a. For help with eligibility verification, claims, and general provider questions, please call the appropriate Customer Care Center phone number below. If you are already contracted with Blue Shield of California Promise Health Plan and would like to report a change to your practice, contact the Provider Services Department via phone, email, or fax: Phone: (800) 468-9935, 6 a. All other Blue Shield plans Blue Shield of California P. Initial Payment Address Anthem Blue Cross Individual Services P. Or find a Blue Shield family plan through Covered California. Phone: (800) 605-2556 (TTY: 711), 8 a. Jun 29, 2023 · California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. Box 51011 Los Angeles, CA 90051. Box 659960 San Antonio, TX 78265-9146 California Physician’s Service DBA Blue Shield of California is an independent member of the Blue Shield Association. For Blue Shield Medicare Advantage Plans: Blue Shield of California is an HMO, HMO D-SNP, PPO and a PDP plan with a Medicare contract and a contract with the By Phone: Call the number on the back of the member’s ID card or dial 800-676-BLUE (2583) to speak to a Provider Service representative. Blue Shield of CA offers both employer and individual & family HMO and PPO health insurance plans for every budget, as well as dental and vision coverage plans. Premier groups: (888) 686-5751. Download rosters of patients who have selected you as their personal physician or belong to your IPA / medical group. Blue Shield of California Provider Services: Phone: (800) 541-6652, 24 hours a day, seven days a week. Enrollment in Blue Shield of California depends on contract renewal. Blue Shield of California welcomes you. For Blue Shield Medicare Advantage Plans: Blue Shield of California is an HMO, HMO D-SNP, PPO and a PDP plan with a Medicare contract and a contract with the California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. Employer-sponsored plans that include Teladoc access may have out-of-pocket costs that vary by plan. If you purchased your health plan through Covered California, there are certain situations when you should contact Covered California and other situations when you should contact Blue Shield of California directly. We are here to help, whether you're already a member or just want to know more about our plans. Find a full listing of doctors, medical groups, vision care providers, specialists, hospitals, pharmacies and urgent care centers in your area. BlueHPN providers offer care to Blue Shield of California members, as well as out-of-area members who purchase this coverage through other Blue Plans. to 7 p. Once Credentialing Committee approval is received, submit the completed Independent Provider Agreement to Blue Shield’s Provider Information & Enrollment Department. to 6:30 p. Blue Shield of California BlueCard Program P. California Physicians’ Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Search for and verify eligibility and benefits for Blue Shield of California, Blue Shield of California Promise Health Plan, Federal Employee Program and other Blue plan members with online resources and tools. Pay through your bank. There is a limit to how much you have to spend out of your pocket each year before Blue Shield begins paying 100% for most covered medical services. This means you will pay a certain percentage of costs, or coinsurance, for covered services received from Blue Shield providers, and Blue Shield will pay the rest. To ensure Blue Shield receives all current required documentation, agreements submitted prior to or at the same time as the initial credentialing application will be returned. Blue Shield Promise Medi-Cal Member Services For Blue Shield providers. Fax: (888) 697-8122 . We updated our look and added features to make finding providers faster and easier. Aug 1, 2024 · Stay informed about programs, policies, and announcements issued in 2023-2024 by Blue Shield of California and Blue Shield of California Promise Health Plan. Apr 23, 2020 · United States List BCBS Provider Phone Number; Alabama: 800-517-6425 (Benefits/Eligibility) 800-327-3994 (PEEHIP) 800-760-6851 (Customer Service) 800-492-8872 (Federal Employee Program) Jul 17, 2024 · *Check your Evidence of Coverage or policy or call the customer service phone number on your Blue Shield member ID card to determine if your plan includes access to Teladoc. This information can also be collected during office visits, over the telephone, or through the Blue Shield of California website. * 2. Medication Policy and Formulary Updates 3rd Quarter 2024 Oct 1, 2023 · California Physician’s Service DBA Blue Shield of California is an independent member of the Blue Shield Association. To get started, follow your bank’s online instructions to set up Bill Pay and be sure to enter the correct Blue Shield account number and mailing address found on your bill. Blue Shield Promise providers can submit medical authorizations online, but pharmacy requests must be faxed. Blue Shield of California commercial plans have two pharmacy network types: Rx Ultra and Rx Spectrum. Shop plans for Medicare, Medical, Dental, Vision & Employers. In Los Angeles County, Blue Shield Promise Medi-Cal is contracted with the Local Initiative Health Authority of Los Angeles County (L. A. Please Select Your State The resources on this page are specific to your state. Explore the BlueCard Program Need help with Provider Connection? Blue Shield of California members receive an ID card upon full enrollment in a Blue Shield of California plan. Note that Anthem is also available 24/7 to accept claims, prior authorization requests, and more via the Availity Portal. to 5 p. Register with us online. Box 629010 El Dorado Hills, CA 95762-9010 Provider name Provider ID (Blue Shield PIN, provider’s tax ID, or SSN) Contact information (mailing address and phone number) Claim information Single Multiple claims (complete attached worksheet) Blue Shield of California : PO Box 629017 . Determine if medical authorization is required for a Medicare or Medi-Cal member Aug 28, 2024 · California Physician’s Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Provider login Employer login Producer login. For Blue Shield of California Life & Health Insurance Company (Blue Shield Life) plans, call the California Department of Insurance (CDI) at (800) 927-HELP (4357) [TTY: (800) 482-4833]. Use the information and tools in this section to submit claims to Blue Shield of California when a Blue plan member from another state seeks medical care from your office or facility in California. You can use your bank’s Bill Pay (or similar) service to have payments sent to Blue Shield each month. Saturday and Sunday, 8 a. Mid-large groups: (855) 747-5809. , Monday through Friday. The Blue Shield of California Promise Health Plan network comprises over 7,000 physicians, 80 hospitals and many ancillary medical professionals. Register now to get started. 2 Plan F Extra is only available to applicants who turned 65 before January 1, 2020, or first became eligible for Medicare benefits due to disability before January 1, 2020. Please call customer service number on the back of your member ID card. to 6 p. FQHC (Federally Qualified Health Center) clinics and doctors Download FQHC directory (PDF, 1. Follow these below to get a copy of your provider directory, using the Find a doctor tool to look up doctors and facilities near you. On Provider Connection you can verify eligibility, check claim status, and request authorizations online. Box 272540 Chico, CA 95927-2540. Once you are logged in to Provider Connection, the online EPA tool enables you to access another state’s Blue plan provider portal to request electronic pre-service review and authorization approvals through a secure routing mechanism. Access commissions, client lists, and more in one convenient place when you’re a broker with Blue Shield of California. Blue Shield of California Provider Services: Download phone quick reference guide (PDF, 145 KB) Phone: (800) 541-6652, 24 hours a day, seven days a week Blue Shield of California Promise Health Plan Provider Services: California Help Center: Important contact information for Blue Shield of California and Anthem Blue Cross. Recent announcements for Blue Shield Promise providers. Sign in to your Blue Shield account to request an appointment or, access Teladoc 24/7/365 by calling: (800) TELADOC (835-2362) (TTY: 711) Blue Shield of California participates in the health insurance marketplace Covered California. Blue Shield Medicare Advantage Blue Shield Medicare Advantage Plan P. Blue Shield of California Provider Services: Phone: (800) 541-6652 24 hours a day, seven days a week Blue Shield of California Mental Health Authorizations: Non-contracted providers seeking authorization for transfer or post-stabilization care for mental health services may contact Blue Shield of California's Mental Health Service Administrator at (877) 263-9952, 24 hours a day, seven days a week Blue Shield of California P. View latest announcements . You will receive notice when necessary. Provider Services . FAX: (916) 350-8860 Blue Shield of California is contracted with National Imaging Associates, Inc. Telephone quick reference guide . In addition to using a telehealth service, you can receive in-person or virtual care from your own doctor or another healthcare provider in your plan’s network. Blue Shield Employer Connection provides information about Blue Shield healthcare plans, account management and administrator resources. Jun 26, 2024 · Why Blue Shield Promise Health Plan. If you receive care from a doctor or healthcare provider not in your plan’s network, your share of the costs may be higher. O. The Blue Shield Broker Connection portal and login. Make the most of your Blue Shield dental plan: get your ID card, register for online accounts, find a network dental provider, and more. Phone: (800) 541-6652. Provide your National Provider Jul 7, 2023 · Enhanced Care Management (ECM) is a Medi-Cal care management benefit from Blue Shield of California offered at no cost to Medi-Cal members with complex needs that make it difficult to improve their health. Find phone and fax numbers for Blue Shield corporate offices, provider and pharmacy services, medical management, EDI program and technical services as well as contact information for Provider Connection specific features. Compare and buy health plans, as well as see if you qualify for tax credits or cost sharing subsides from government programs. California Physician’s Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Official Site of Anthem Blue Cross Blue Shield, a trusted health insurance plan provider. Including submitting, prescreening and correcting claims; checking claim status and viewing Explanation of Benefits (EOBs) online,' contacting Provider Services; and disputing a claim decision. Call for questions about: Member eligibility; Blue Shield Express Line; Claims Jul 2, 2024 · Have questions about Blue Shield of California Medicare plans? Call us directly at (800) 963-8008 (TTY: 711). Box 272630 Chico, CA 95927-2630 . Join Blue Shield Promise provider network. See phone numbers, addresses, and more. Blue Shield of California Provider Services: Monday through Friday, 6 a. Registration allows Blue Shield of CA members to quickly find doctors, view claims, pay bills You may also call Blue Shield at (855) 836-9705 (PPO), (844) 250-2878 (HMO) or Covered California at (800) 300-1506. Phone:(800) 468-9935 . The BlueCard® Program links Blue plans across the United States and abroad, through a single electronic network, for claims processing and reimbursement. Dial our dedicated provider line 24 hours a day, 7 days a week, at: 800-541-6652. If you need help obtaining your Blue Shield provider ID number (PIN), call Blue Shield of California Provider Information and Enrollment at (800) 258-3091 or Blue Shield Promise Provider Services at (800) 468-9935 (TTY: 711), 8 a. For hospital admissions: Monday through Friday, 7 a. Here’s how it works: 1. Blue Shield of California’s Blue High Performance Network SM (BlueHPN SM) is a national exclusive provider organization (EPO) alternative to the BlueCard PPO Network offered to employer groups. Please complete and re-attest your CAQH application or complete every field of the CPPA application as applicable to your provider type and return it to Blue Shield as soon as possible (within thirty (30) days from the date of receiving your recredentialing notice that Blue Shield of California is needing an updated application and attestation). Phone: (800) 535-9481. Directories Make your own doctor directory. Back to top Department of Managed Health Care Provider Connection is an online portal for Blue Shield of CA providers to access member eligibility, benefit, authorization, claim, and payment information. An ID card contains important information for members to use when accessing the care they need. El Dorado Hills, CA 95762-9017 . Small business: (800) 325-5166. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. . Blue Shield of California Pharmacy Services P. , Monday through Friday . Verify and learn more about eligibility of Blue Shield of California, Blue Shield Promise, Federal Employee Program and other Blue plan members. (NIA) to provide medical necessity reviews and prior authorization for advanced imaging, and spine and pain management. 27 MB). Blue Shield always tries to show the most up-to-date provider information on our website, but this information can change at any time. Medication Policy and Formulary Updates 3rd Quarter 2024 Aug 28, 2024 · Affordable individual PPO or HMO dental insurance plans are available directly through Blue Shield of CA. For Blue Shield Promise providers. Find Blue Shield of California and Blue Shield of California Promise Health Plan forms, policies, benefit information, medical guidelines, operating guidelines, manuals, patient care resources and more. Authorization tools. Blue Shield of California Promise Health Plan 3840 Kilroy Airport Way Long Beach, CA 90806-2452 Whom to contact for help with your Blue Shield health plan purchased through Covered California. For Blue Shield Medicare Advantage Plans: Blue Shield of California is an HMO, HMO D-SNP, PPO and a PDP plan with a Medicare contract and a contract with the Blue Shield TotalDual Plan (HMO D-SNP), Blue Shield Inspire (HMO D-SNP) or Blue Shield Coordinated Choice Plan (HMO) members Medicare Advantage Prescription Drug Plan (IMAPD) HMO members Complete this Behavioral Health Care Management Referral Form (PDF, 131 KB), then email the completed form to the Blue Shield care team at the email address About Blue Shield. Blue Shield of California 601 12th Street, Oakland, CA 94607. self-service phone system . Welcome to Blue Shield of California Promise Health Plan network. Health Care Options: (844) 580-7272 {TTY: {800) 430-7077}, Monday through Friday from 8 a. Blue Shield of California, an independent member of the Blue Shield Association, is a nonprofit health plan dedicated to providing Californians with access to high-quality health care at an affordable price. 1 Blue Shield of California actuarial estimate of extra benefits assuming maximum coverage over the course of 12 months for Blue Shield Medicare Supplement Plan G Extra. You can also download member rosters, file a dispute, and submit an attestation. Box 7168 San Francisco, CA 94120-7168. Blue Shield of California Promise Health Plan Medi-Cal provider directories Any claims incurred prior to 1/1/2024 will be supported by MESVision through 12/31/2024. Blue Shield Promise Member Services. Explore the BlueCard Program Need help with Provider Connection? location_on Anthem Blue Cross P. Blue Shield Dispute Resolution Office Attention: Hospital Exception and Transplant Team P. Apply for individual or family medical, dental, and life insurance plans. Box 272540 Oct 1, 2023 · California Physician’s Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Recent announcements for Blue Shield providers . Learn how to submit claims electronically, search our Claims Fee Schedule for Blue Shield allowances, find resources on provider appeals and adjustments, and learn more about submitting claims, rules for payment and claim status. Blue Shield of California Promise Health Plan Blue Shield of California Promise Health Plan P. If you have questions related to Blue Shield Promise member's eligibility or benefits, contact Provider Services at (800) 468-9935. Contact us; Send us feedback Blue Shield of California gathers the information contained in directories from new provider forms and/or contracts. Prescription Drugs See if your prescriptions, including your dosage, are available. Blue Shield of California Promise Health Plan 3840 Kilroy Airport Way Long Beach, CA 90806-2452 Contact information for Blue Shield of California: mail, office location, plan sales phone number. The provider network may change at any time. Provider resources Updating your practice information. Learn more about managing your claims with Blue Shield of California. For Blue Shield of California and Blue Shield of California Life & Health Insurance Company commercial providers . Box 272640 Chico, Ca 95927-2640 Phone:(800) 541-6652 Fax: (818) 228-5014. Call for questions about: Member eligibility; Blue Shield Express Line; Claims Learn how to submit claims electronically, search our Claims Fee Schedule for Blue Shield allowances, find resources on provider appeals and adjustments, and learn more about submitting claims, rules for payment and claim status. Care Health Plan) to provide Medi-Cal health benefits to its Medi-Cal recipients. The provider tools and resources you need. Blue Shield uses cost information to insure the Covered California plans meet the company mission of access to high-quality health care at an affordable price; providers who demonstrate cost-effective care with high quality are included in the network. Blue Shield of California 601 12th Street, Oakland, CA 94607 Your network providers may offer telehealth and in-office services. Blue Shield Promise’s network comprises more than 7,000 physicians, 80 hospitals, and hundreds of ancillary medical professionals. Blue Shield of California P. Blue Shield of Promise Health Plan Provider Services: Monday through Friday, 6 a. Nov 14, 2022 · Blue Shield of California is an HMO, HMO D-SNP and PPO plan with a Medicare contract and a contract with the California State Medicaid Program. When an out-of-area Blue plan member seeks medical care from your office, use our tools to simplify claims submission to Blue Shield of California. For Blue Shield Medicare Advantage Plans: Blue Shield of California is an HMO, HMO D-SNP, PPO and a PDP plan with a Medicare contract and a contract with the You can also view Blue Shield’s prior authorization list or contact Blue Shield of California Provider Services to determine if medical authorization is required. Mar 28, 2023 · Resources for Medi-Cal members of Blue Shield of California Promise Health Plan including Medi-Cal benefits including medical care, pharmacy and prescription drugs, vision care and more. — 6 p. hpgsmo uiv ziongoi bynctag xzlg zuxt xeon jbl gewdiz xggkv