Authorization contacts OOA providers
Blue Shield of California Provider Services:
Download phone quick reference guide (PDF, 145 KB)
Phone: (800) 541-6652, 24 hours a day, seven days a week
Blue Shield of California Promise Health Plan Provider Services:
Download phone quick reference guide (PDF, 129 KB)
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 Medicare Member Services
Contact us 8 a.m. to 8 p.m., seven days a week from October 1 through March 31, and Monday through Friday from April 1 through September 30:
Phone: (800) 544-0088 (TTY: 711)
Fax: (866) 712-2731
Send us an email
Blue Shield Promise Medi-Cal Member Services
Send us an email
Find contact information by service area
Blue Shield Promise Cal MediConnect Member Services
Contact us 8 a.m. to 8 p.m., seven days a week:
Phone: (855) 905-3825 (TTY: 711)
Fax: (323) 889-5416
Send us an email
Other Blue plan member authorizations
BlueCard provider customer services:
(800) 676-2583 Monday through Friday, 6 a.m. to 9 p.m.
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 Monday through Friday, 8:30 a.m. to 4:30 p.m.
General contacts
Find phone and fax numbers for Blue Shield corporate offices, provider and pharmacy services, medical management, EDI program and technical services.
Technical support request form
Request help with your log in, registration or other technical problems.
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.