Blue shield of california provider phone number

Blue shield of california provider phone number. Telephone quick reference guide . Blue Shield of California welcomes you. By Phone: Call the number on the back of the member’s ID card or dial 800-676-BLUE (2583) to speak to a Provider Service representative. In Los Angeles County, Blue Shield Promise Medi-Cal is contracted with the Local Initiative Health Authority of Los Angeles County (L. Find the phone number for your health plan provider, healthcare practitioner or hospital. Learn how to submit claims electronically, search our Claims Fee Schedule for Blue Shield allowances, find resources on provider appeals and adjustments, and learn more about submitting claims, rules for payment and claim status. Members of the Federal Employee Blue Cross/Blue Shield Service Benefit Plan (FEP) are subject to different prior authorization requirements. Follow these below to get a copy of your provider directory, using the Find a doctor tool to look up doctors and facilities near you. Member Services: (866) 346-7198 (TTY:711) Look up doctors and facilities near you. Fax: (888) 697-8122 . m. O. , Monday through Friday. For Blue Shield of California Life & Health Insurance Company (Blue Shield Life) plans, call the California Department of Insurance (CDI) at (800) 927-HELP (4357) [TTY: (800) 482-4833]. Find Blue Shield of California and Blue Shield of California Promise Health Plan forms, policies, benefit information, medical guidelines, operating guidelines, manuals, patient care resources and more. Blue Shield of California : PO Box 629017 . For Blue Shield Medicare Advantage Plans: Blue Shield of California is an HMO, HMO D-SNP, PPO and a PDP plan with a Medicare contract and a contract with the Blue Shield of California members receive an ID card upon full enrollment in a Blue Shield of California plan. Blue Shield TotalDual Plan (HMO D-SNP), Blue Shield Inspire (HMO D-SNP) or Blue Shield Coordinated Choice Plan (HMO) members Medicare Advantage Prescription Drug Plan (IMAPD) HMO members Complete this Behavioral Health Care Management Referral Form (PDF, 131 KB), then email the completed form to the Blue Shield care team at the email address Please complete and re-attest your CAQH application or complete every field of the CPPA application as applicable to your provider type and return it to Blue Shield as soon as possible (within thirty (30) days from the date of receiving your recredentialing notice that Blue Shield of California is needing an updated application and attestation). Here’s how it works: 1. Jul 2, 2024 · California Physician’s Service DBA Blue Shield of California is an independent member of the Blue Shield Association. The Blue Shield Broker Connection portal and login. For Blue Shield Promise providers. to 6:30 p. Blue Shield Promise Medi-Cal Member Services Blue Shield of California Provider Services: Phone: (800) 541-6652, 24 hours a day, seven days a week Blue Shield of California Promise Health Plan Provider Services: For Blue Shield providers. Box 7168 San Francisco, CA 94120-7168. Find a doctor. Box 659960 San Antonio, TX 78265-9146 Authorization tools. Make the most of your Blue Shield dental plan: get your ID card, register for online accounts, find a network dental provider, and more. Blue Shield Promise Medi-Cal Member Services Blue Shield of California Promise Health Plan Provider Services: Phone: (800) 468-9935, 6 a. * 2. Blue Shield of California is contracted with National Imaging Associates, Inc. Individual practitioners that are joining provider groups with existing Blue Shield of California (Blue Shield) Commercial, Medicare and/or Blue Shield Promise Medi-Cal contracts, individual practitioners wanting to join as a new solo practitioner, or provider Learn how to submit claims electronically, search our Claims Fee Schedule for Blue Shield allowances, find resources on provider appeals and adjustments, and learn more about submitting claims, rules for payment and claim status. Mar 28, 2023 · Resources for Medi-Cal members of Blue Shield of California Promise Health Plan including Medi-Cal benefits including medical care, pharmacy and prescription drugs, vision care and more. Jun 29, 2023 · California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. Contact us; Send us feedback Search for and verify eligibility and benefits for Blue Shield of California, Blue Shield of California Promise Health Plan, Federal Employee Program and other Blue plan members with online resources and tools. FAX: (916) 350-8860 Official Site of Anthem Blue Cross Blue Shield, a trusted health insurance plan provider. Provider Services – Blue Shield of California. (NIA) to provide medical necessity reviews and prior authorization for advanced imaging, and spine and pain management. Explore the BlueCard Program Need help with Provider Connection? Blue Shield always tries to show the most up-to-date provider information on our website, but this information can change at any time. If you have questions related to Blue Shield Promise member's eligibility or benefits, contact Provider Services at (800) 468-9935. to 5 p. The provider network may change at any time. , Monday through Friday . Call for questions about: Member eligibility; Blue Shield Express Line; Claims Blue Shield of CA offers both employer and individual & family HMO and PPO health insurance plans for every budget, as well as dental and vision coverage plans. Blue Shield Promise Member Services. Enrollment in Blue Shield of California depends on contract renewal. Credentialing is determined by line of business - Commercial/Medicare and Medi-Cal. If you purchased your health plan through Covered California, there are certain situations when you should contact Covered California and other situations when you should contact Blue Shield of California directly. Please note: Using the interactive voice recognition (IVR) system requires a Provider Tax ID Number (TIN) or National Provider Identifier (NPI), plus the Blue Shield of California Promise Health Plan member ID number and date of birth. Access commissions, client lists, and more in one convenient place when you’re a broker with Blue Shield of California. Jul 2, 2024 · Have questions about Blue Shield of California Medicare plans? Call us directly at (800) 963-8008 (TTY: 711). 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: The BlueCard® Program links Blue plans across the United States and abroad, through a single electronic network, for claims processing and reimbursement. self-service phone system . Nov 14, 2022 · Blue Shield of California is an HMO, HMO D-SNP and PPO plan with a Medicare contract and a contract with the California State Medicaid Program. Blue Shield Promise’s network comprises more than 7,000 physicians, 80 hospitals, and hundreds of ancillary medical professionals. Care Health Plan) to provide Medi-Cal health benefits to its Medi-Cal recipients. Please call customer service number on the back of your member ID card. Fax: (916) 350-8860. Phone:(800) 468-9935 . There is a limit to how much you have to spend out of your pocket each year before Blue Shield begins paying 100% for most covered medical services. Blue Shield always tries to show the most up-to-date provider information on our website, but this information can change at any time. Visit the Blue Cross Blue Shield Association site to find network providers, hospitals, urgent care, mental health care, chiropractors, acupuncturists, equipment, and supplies. Blue Shield providers can submit medical and pharmacy authorizations online in AuthAccel. For Blue Shield Medicare Advantage Plans: Blue Shield of California is an HMO, HMO D-SNP, PPO and a PDP plan with a Medicare contract and a contract with the You may also call Blue Shield at (855) 836-9705 (PPO), (844) 250-2878 (HMO) or Covered California at (800) 300-1506. Jul 7, 2023 · Enhanced Care Management (ECM) is a Medi-Cal care management benefit from Blue Shield of California offered at no cost to Medi-Cal members with complex needs that make it difficult to improve their health. For hospital admissions: Monday through Friday, 7 a. Log in to access a contact number specific to your health plan or call the toll free number for general inquiries. Shop plans for Medicare, Medical, Dental, Vision & Employers. The Blue Shield of California Promise Health Plan network comprises over 7,000 physicians, 80 hospitals and many ancillary medical professionals. Jan 17, 2023 · Blue Shield of California plans include a range of mental healthcare benefits including counseling, treatment, or medication for: stress, anxiety, depression, substance abuse and other conditions. For Blue Shield providers. Blue Shield of Promise Health Plan Provider Services: Monday through Friday, 6 a. Aug 7, 2023 · California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. You will receive notice when necessary. Saturday and Sunday, 8 a. If you need help obtaining your Blue Shield provider ID number (PIN), call Blue Shield of California Provider Information and Enrollment at (800) 258-3091 or Blue Shield Promise Provider Services at (800) 468-9935 (TTY: 711), 8 a. Blue Shield Employer Connection provides information about Blue Shield healthcare plans, account management and administrator resources. Join Blue Shield Promise provider network. Box 51011 Los Angeles, CA 90051. Blue Shield of California Provider Services: Phone: (800) 541-6652, 24 hours a day, seven days a week. Back to top Department of Managed Health Care location_on Anthem Blue Cross P. Call for questions about: Member eligibility; Blue Shield Express Line; Claims When an out-of-area Blue plan member seeks medical care from your office, use our tools to simplify claims submission to Blue Shield of California. California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. Please Select Your State The resources on this page are specific to your state. Phone: (800) 541-6652. Welcome to Blue Shield of California Promise Health Plan network. Blue Shield of CA offers both employer and individual & family HMO and PPO health insurance plans for every budget, as well as dental and vision coverage plans. Phone: (800) 535-9481. An ID card contains important information for members to use when accessing the care they need. Provider Connection is an online portal for Blue Shield of CA providers to access member eligibility, benefit, authorization, claim, and payment information. Blue Shield uses cost information to insure the Covered California plans meet the company mission of access to high-quality health care at an affordable price; providers who demonstrate cost-effective care with high quality are included in the network. Oct 1, 2023 · California Physician’s Service DBA Blue Shield of California is an independent member of the Blue Shield Association. El Dorado Hills, CA 95762-9017 . Blue Shield of California Provider Services: Monday through Friday, 6 a. Provider Services . We updated our look and added features to make finding providers faster and easier. Apply for individual or family medical, dental, and life insurance plans. Find phone and fax numbers for Blue Shield corporate offices, provider and pharmacy services, medical management, EDI program and technical services as well as contact information for Provider Connection specific features. . Blue Shield of California 601 12th Street, Oakland, CA 94607. Note that Anthem is also available 24/7 to accept claims, prior authorization requests, and more via the Availity Portal. Blue Shield Promise providers can submit medical authorizations online, but pharmacy requests must be faxed. Any claims incurred prior to 1/1/2024 will be supported by MESVision through 12/31/2024. Sep 30, 2019 · California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. Dedicated Provider Telephone Number: (800) 468-9935. Use the information and tools in this section to submit claims to Blue Shield of California when a Blue plan member from another state seeks medical care from your office or facility in California. 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. Initial Payment Address Anthem Blue Cross Individual Services P. 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 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 Jun 26, 2024 · Why Blue Shield Promise Health Plan. Apr 23, 2020 · California: 800-677-6669 800-444-2726 (Anthem National Claims) 800-676-2583 (Eligibility) 800-676-2583 (Blue Card) 800-541-6652 (CalPERS/Medicare/Blue Shield 65 Plus) 800-824-8839 (Federal Employee Program) 800-241-4896 (NASCO) 866-510-8778 (Blue Shield Life and Health) Colorado: 888-817-3717 (Blue Card/National Accounts) 877-833-5742 (Local Blue Shield of California Promise Health Plan Provider Services: Phone: (800) 468-9935, 6 a. A. Whom to contact for help with your Blue Shield health plan purchased through Covered California. Find a full listing of doctors, medical groups, vision care providers, specialists, hospitals, pharmacies and urgent care centers in your area. To comply with state mandates including SB137, providers who do not provide us with informational updates and are in-network might not appear in our search. For Blue Shield of California and Blue Shield of California Life & Health Insurance Company commercial providers . Blue Shield of California gathers the information contained in directories from new provider forms and/or contracts. Blue Shield of California Pharmacy Services P. The BlueCard® Program links Blue plans across the United States and abroad, through a single electronic network, for claims processing and reimbursement. Provide your National Provider For help with eligibility verification, claims, and general provider questions, please call the appropriate Customer Care Center phone number below. Search for and verify eligibility and benefits for Blue Shield of California, Blue Shield of California Promise Health Plan, Federal Employee Program and other Blue plan members with online resources and tools. This means you will pay a certain percentage of costs, or coinsurance, for covered services received from Blue Shield providers, and Blue Shield will pay the rest. Provider Phone Guide. Prescription Drugs See if your prescriptions, including your dosage, are available. Dial our dedicated provider line 24 hours a day, 7 days a week, at: 800-541-6652. keidh cyld azjkk ezxtv syrmapd kjb xcde xbwvdiq ldgf lgkk