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

 

 


 

Mail

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

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

Contact us with questions about:
  • 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.

       Contact technical support


 

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

 


 

Credentialing department – Blue Shield of California

  Email:BSC_Credentialing@blueshieldca.com

 


 

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

 BlueCard program information

  Verify BlueCard member's eligibility

  Claims routing tool

 


 

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.

© 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.

TRUSTe