Authorization contacts
Blue Shield of California Provider Services:
Phone: (800) 541-6652 24 hours a day, seven days a week
Blue Shield of California Mental Health Authorizations:
Non-contracted providers seeking authorization for transfer or post-stabilization care for mental health services may contact Blue Shield of California's Mental Health Service Administrator at (877) 263-9952, 24 hours a day, seven days a week
Blue Shield of California Promise Health Plan Provider Services:
Phone: (800) 468-9935 8 a.m. to 5 p.m., Monday through Friday
Blue Shield of California member authorizations
Contact us with questions about:
- Authorization requests for referrals – Auth logs and tracking numbers
- Preauthorization for POS (N/A for Medicare)
- Blue Shield medical policy
- Emergency services
- Denials
- All admissions – notification to Blue Shield and concurrent review
- DME/HME and home health (if health plan is financially responsible)
- Clinical trials
- Nurse triage line
- General medical management questions pertaining to prior authorization, case management, continuity of care, investigational and experimental, medical policy and clinical issues
- Transplant requests
- Second opinions
Blue Shield of California
Medical Care Solutions
P.O. Box 629005
El Dorado Hills, CA 95762-9005
HMO and PPO:
Phone: (800) 541-6652 (Option 6)
Fax: (844) 295-4637
Monday through Friday, 8 a.m. to 5 p.m.
Blue Shield 65 Plus (HMO):
Phone: (800) 541-6652 (Option 6)
Fax: (844) 696-0975
Monday through Friday, 8 a.m.to 5 p.m.
FEP (PPO):
Phone: (800) 633-4581 (Option 6)
Fax: (916) 350-8746
HMO Direct Contracting and CalPERS EPO:
Phone: (888) 732-0000
Fax: (844) 295-4638
Care Management Response Line/Transplant Line
Phone: (800) 637-2066 ext. 3507708
RN Triage Line:
Phone: (916) 350-6110
Please listen to greeting in its entirety before leaving a message.
Blue Shield Promise member authorizations
If you have questions related to Blue Shield Promise medical or pharmacy authorizations, contact Provider Services at (800) 468-9935.
Blue Shield Promise Medi-Cal Member Services
Send us an email
Find contact information by service area
Other Blue plan member authorizations
BlueCard provider customer services:
(800) 676-2583 6 a.m. to 9 p.m., Monday through Friday
BlueCard resources
Out-of-state member pre-service review
Policies and authorizations for out-of-state members
Verify BlueCard member's eligibility
Federal Employee Program member authorizations
Federal Employee Program customer services:
(800) 824-8839 8:30 a.m. to 4:30 p.m., Monday through Friday
General contacts
Find phone and fax numbers for Blue Shield corporate offices, provider and pharmacy services, medical management, EDI program and technical services.
Eligibility and benefits contacts
Find phone and fax numbers for Blue Shield eligibility and benefits contacts.
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.