BlueCard program

The BlueCard® Program links Blue plans across the United States and abroad, through a single electronic network, for claims processing and reimbursement. We encourage you to 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. As a mission-driven, non-profit health plan, Blue Shield of California is working every day to create a sustainably affordable healthcare system that’s worthy of our family and friends.

BlueCard Program tools

Use our tools when providing services and submitting claims for your patients insured by the out-of-area Blue plans.

Search eligibility and benefits

Verify member eligibility using their subscriber ID or member name.

Search medical policies and prior authorization requirements

Check medical policy and authorization requirements.

Request prior authorization

Use pre-service review tool to request prior authorization for other Blue plan members.

Claims-routing tool

Use this tool to instantly find where to send your BlueCard claims.

Check claim status

Check the status of a submitted claim searching by member name, dates of service and more.

Get status updates

Check status update notifications in your Message center.

 

Tutorials and resources

Learn about BlueCard Program and how to use our online tools. Find links and resources to help you process BlueCard claims, learn more about the BlueCard program and services and read answers to the frequently asked questions.

If you have other questions, please contact BlueCard:
  Eligibility: (800) 676-2583
  Claims: (800) 622-0632

BlueCard tutorials

Learn about BlueCard Program and how to use our online tools.

BlueCard resources

Learn more about the program and services, and find resources for processing BlueCard claims.

BlueCard program FAQs

Get answers to frequently asked questions about the program.

Submitting claims electronically with EDI

Learn how to enroll in EDI for your organization and manage electronic transactions.

Training and webinars

We have a dedicated BlueCard training team that offers a variety of training options, including monthly webinars, to assist you with out-of-state Blue plan patients. They can also partner with you to improve business solutions and help simplify processes.

Training webinars

Sign up for our free webinars providing training on the BlueCard Program, online tools, and other topics.

BlueCard training team

Find a list (PDF, 57 KB) of territories and contact information for our three BlueCard representatives.

© California Physicians' Service DBA Blue Shield of California 1999-2024. All rights reserved. California Physicians’ Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Health plans are offered by Blue Shield of California.

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