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.m. to 6:30 p.m., Monday through Friday

  Fax: (916) 350-8860

  Email: BSCProviderInfo@blueshieldca.com

Here are examples of changes you can submit to us:

  • Change of address
  • Phone or fax number updates
  • Location closures
  • Moving to a new location
  • No longer contracting with Blue Shield of California Promise Health Plan
  • Copy of W-9 form
     

Blue Shield Promise requires providers to notify us or the participating provider group under which they are contracted within five (5) business days when either of the following occurs:

  • The provider had previously accepted new patients and the provider is not currently accepting new patients.
  • The provider had previously not accepted new patients and the provider is currently accepting new patients.
     

Send all other contract changes or updates in writing to:

   Blue Shield of California Promise Health Plan
        Attention: Contracting Department
        3840 Kilroy Airport Way
        Long Beach, CA 90806-2452

Please include a current signed W-9 form with your request.