Contact us
Welcome to Provider Connection at Blue Shield of California. We are here to help, whether you're already a network participant or just want to know more about us.
Live chat
Use live chat for questions about:
- Claims
- Benefits
- Member eligibility
- How to use Provider Connection
- Contracts
- Credentialing
- Demographics
- Electronic Data Interchange (EDI)
- Recoveries
Live chat is available:
Monday through Friday, 6 a.m. to 6:30 p.m.
Phone
Call us for questions about:
- Authorizations
- Pharmacy advice
- Claims
- Benefits
- Member eligibility
- How to use Provider Connection
- Contracts
- Credentialing
- Demographics
- Electronic Data Interchange (EDI)
- Recoveries
Simply speak your request and our voice-activated system will direct your call to the appropriate representative.
Blue Shield of California Provider Services:
Monday through Friday, 6 a.m. to 6:30 p.m.
For hospital admissions:
Monday through Friday, 7 a.m. to 5 p.m.
Saturday and Sunday, 8 a.m. to 5 p.m.
Phone: (800) 541-6652
Blue Shield of Promise Health Plan Provider Services:
Monday through Friday, 6 a.m. to 6:30 p.m.
Available 24/7 for hospital admissions.
Phone (800) 468-9935
For all other Provider Services inquiries:
Blue Shield of California
P.O. Box 272540
Chico, CA 95927-2540
Blue Shield of California BlueCard Program
P.O. Box 272630
Chico, CA 95927-2630
Blue Shield of California Promise Health Plan
3840 Kilroy Airport Way
Long Beach, CA 90806-2452
Corporate headquarters
Blue Shield of California
601 12th Street
Oakland, CA 94607
Phone: (510) 607-2000
Southern Region Main Office
Blue Shield of California
100 North Sepulveda Blvd.
El Segundo, CA 90245
Phone: (310) 744-2580
Medicare Main Office
Blue Shield of California
6300 Canoga Ave.
Woodland Hills, CA 91367
Phone: (818) 598-8000
Blue Shield of California Promise Health Plan
3840 Kilroy Airport Way
Long Beach, CA 90806
Phone: (800) 468-9935
Live chat is available:
Monday through Friday, 6 a.m. to 6:30 p.m.
Shared Advantage Customer Service
- In-state BlueCard benefits/eligibility information
- In-state claim status
- Pricing information on in-state claims
- Appeal Status on in-state claims
- Written Correspondence Status on in-state claims
- Status of payment (check information, paid information, etc.) information for in-state claims
- Provide EOB copies on in-state claims
- Authorization inquiries
Phone: (800) 219-0030
Monday through Friday, 6 a.m. to 6:30 p.m.
Provider Connection Customer Service
For issues related to the following functions on the Provider Connection website:
- Password resets and logging in
- Accessing member eligibility and benefits, claims information, or Clear Claim Connection (C3) claims prescreening simulation tool
- Submitting prior authorization
Phone: (800) 541-6652, 24 hours a day, seven days a week
Please have your Provider NPI or Tax ID number available when speaking with a representative.
Provider information and enrollment – Blue Shield of California network
Contact us with questions about:
- Provider network inquiries and applications
- Address, phone, fax, and practice changes
- Group additions/deletions
- Credentials
- Provider directory updates
- Provider education
- Contractual obligations
- PPO related requests
Blue Shield of California
Provider Information and Enrollment
P.O. Box 629017
El Dorado Hills, CA 95762
Phone:(800) 258-3091
Fax: (916) 350-8860
Monday through Friday, 6 a.m. to 6:30 p.m.
Provider information and enrollment – Blue Shield of California Promise Health Plan
If you are an Ancillary provider who is interested in joining our network, you can submit a Letter of Interest by the following methods:
By email: PromiseLOI@blueshieldca.com
By mail: Blue Shield of California Promise Health Plan
Attention: Provider Contracting
3840 Kilroy Airport Way
Long Beach, CA 90806
EDI related issues
Contact us with questions about:
- EDI setup inquiries (270/271, 276/277, 278, 837, 835)
- ERA setup inquiries
- EFT setup inquiries
- Member benefit enrollment setup inquiries (820/834)
Call the EDI Help Desk at (800) 480-1221
Pharmacy services
Contact us for drug formulary information and to request prior authorization for outpatient prescription drugs and home self-administered injectables.
For Blue Shield providers
Blue Shield of California
Pharmacy Services
P.O. Box 7168
San Francisco, CA 94120-7168
Phone: (800) 535-9481
Fax: (888) 697-8122
For Blue Shield Promise providers
Phone: (800) 468-9935
BlueCard program
BlueCard provider customer services:
(800) 676-2583 6 a.m. to 9 p.m., Monday through Friday
BlueCard resources
Verify BlueCard member's eligibility
Federal Employee Program customer services:
(800) 824-8839, Monday through Friday, 8:30 a.m. to 4:30 p.m.
Eligibility and benefits contacts
Find phone and fax numbers for Blue Shield eligibility and benefits contacts.
Authorization contacts
Contact Medical Care Solutions for questions about authorization requests, preauthorization, medical policy, and more.
Claims contacts
Find phone numbers and addresses for claims, the EDI help desk, and member appeals and grievances.
Guidelines and resources contacts
Find phone and fax numbers for compliance and ethics, disease management, wellness prevention, and more.
Technical support request form
Request help with your log in, registration or other technical problems.
Provider Connection Reference Guide
Find detailed instructions for activities like checking eligibility, making a referral, determining if prior authorization is necessary, prescreening claims, checking claims status, and other tools and information you need to serve our members.
About Provider Connection
Learn about the range of information and tools available to Blue Shield of California providers on this website
Company holidays
Operation centers will be closed in observance of Blue Shield of California’s holiday schedule, with the exception of Medicare Member Services.