Preventing healthcare fraud

Healthcare fraud is increasing every year. Examples of health care fraud include billing for services not provided and using someone else’s identity (ID) to obtain benefits or receive payment. At Blue Shield of California Promise Health Plan, our goal is to work together with our network providers to prevent healthcare fraud.

Reporting fraud

If you suspect fraud or need guidance regarding fraud that could relate to claims or other business transactions impacting Blue Shield Promise, report it today to Blue Shield of California Special Investigations Unit:

 Phone: (800)221-2367, 9 a.m. to 5 p.m., Monday through Friday

 Website: bscspecialinvestigations.alertline.com

 Email: stopfraud@blueshieldca.com

Report actual or suspected healthcare fraud online

If you suspect fraud, report it today.

Report your concern Follow up on a reported concern

Forms

Find the forms you need for authorizations, referrals, service requests, EFT enrollment, and provider disputes.

Find forms

Health Care Options: (844) 580-7272  {TTY: {800) 430-7077}, Monday through Friday from 8 a.m. — 6 p.m. 

For information on Blue Shield Promise plans for your health care, call the Department of Health Care Services at (800) 430-4263 {TTY: (800) 735-2922}, or visit https://www.healthcareoptions.dhcs.ca.gov/.

Blue Shield of California Promise Health Plan is a managed care organization, wholly owned by Blue Shield of California, offering Medi-Cal Plans.

© 2002-2024. California Physicians’ Service DBA Blue Shield of California Promise Health Plan. All rights reserved.

California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association.

The provider network may change at any time. You will receive notice when necessary.

Blue Shield of California Promise Health Plan 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 status, gender, gender identity, sexual orientation, age, or disability.

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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