Blue shield of california provider phone number

Blue shield of california provider phone number. Provider Phone Guide. 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. In Los Angeles County, Blue Shield Promise Medi-Cal is contracted with the Local Initiative Health Authority of Los Angeles County (L. Members of the Federal Employee Blue Cross/Blue Shield Service Benefit Plan (FEP) are subject to different prior authorization requirements. Shop plans for Medicare, Medical, Dental, Vision & Employers. 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. Blue Shield always tries to show the most up-to-date provider information on our website, but this information can change at any time. Dial our dedicated provider line 24 hours a day, 7 days a week, at: 800-541-6652. Jul 2, 2024 · Have questions about Blue Shield of California Medicare plans? Call us directly at (800) 963-8008 (TTY: 711). 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 of California gathers the information contained in directories from new provider forms and/or contracts. O. 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]. 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. 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. Provider Services – Blue Shield of California. We updated our look and added features to make finding providers faster and easier. Blue Shield of California : PO Box 629017 . 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. Access commissions, client lists, and more in one convenient place when you’re a broker with Blue Shield of California. Blue Shield of California 601 12th Street, Oakland, CA 94607. Please Select Your State The resources on this page are specific to your state. For Blue Shield Promise providers. Fax: (916) 350-8860. The provider network may change at any time. FAX: (916) 350-8860 Official Site of Anthem Blue Cross Blue Shield, a trusted health insurance plan provider. Make the most of your Blue Shield dental plan: get your ID card, register for online accounts, find a network dental provider, and more. Welcome to Blue Shield of California Promise Health Plan network. Please call customer service number on the back of your member ID card. For hospital admissions: Monday through Friday, 7 a. Phone: (800) 535-9481. 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. 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). Log in to access a contact number specific to your health plan or call the toll free number for general inquiries. 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. A. 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. , Monday through Friday. 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. Blue Shield of California welcomes you. 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. Oct 1, 2023 · California Physician’s Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Blue Shield of California Pharmacy Services P. Phone: (800) 541-6652. Find the phone number for your health plan provider, healthcare practitioner or hospital. Jun 29, 2023 · California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. 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. Blue Shield Promise’s network comprises more than 7,000 physicians, 80 hospitals, and hundreds of ancillary medical professionals. If you have questions related to Blue Shield Promise member's eligibility or benefits, contact Provider Services at (800) 468-9935. 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. Find a full listing of doctors, medical groups, vision care providers, specialists, hospitals, pharmacies and urgent care centers in your area. Apply for individual or family medical, dental, and life insurance plans. Member Services: (866) 346-7198 (TTY:711) Look up doctors and facilities near you. You will receive notice when necessary. Aug 7, 2023 · California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. Blue Shield Promise Member Services. (NIA) to provide medical necessity reviews and prior authorization for advanced imaging, and spine and pain management. Provider Connection is an online portal for Blue Shield of CA providers to access member eligibility, benefit, authorization, claim, and payment information. The Blue Shield of California Promise Health Plan network comprises over 7,000 physicians, 80 hospitals and many ancillary medical professionals. Saturday and Sunday, 8 a. Blue Shield of California Provider Services: Monday through Friday, 6 a. Dedicated Provider Telephone Number: (800) 468-9935. Join Blue Shield Promise provider network. The Blue Shield Broker Connection portal and login. 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. to 5 p. 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. 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. 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. * 2. Telephone quick reference guide . The BlueCard® Program links Blue plans across the United States and abroad, through a single electronic network, for claims processing and reimbursement. , Monday through Friday . Blue Shield of Promise Health Plan Provider Services: Monday through Friday, 6 a. Blue Shield providers can submit medical and pharmacy authorizations online in AuthAccel. Here’s how it works: 1. Blue Shield Promise Medi-Cal Member Services Blue Shield of California Promise Health Plan Provider Services: Phone: (800) 468-9935, 6 a. self-service phone system . Blue Shield Employer Connection provides information about Blue Shield healthcare plans, account management and administrator resources. El Dorado Hills, CA 95762-9017 . 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. 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. Fax: (888) 697-8122 . m. Prescription Drugs See if your prescriptions, including your dosage, are available. 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. Box 659960 San Antonio, TX 78265-9146 Authorization tools. 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. Find a doctor. 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. For Blue Shield providers. California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. Box 51011 Los Angeles, CA 90051. Jul 2, 2024 · California Physician’s Service DBA Blue Shield of California is an independent member of the Blue Shield Association. 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. Provider Services . Back to top Department of Managed Health Care location_on Anthem Blue Cross P. . 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. Blue Shield of California Provider Services: Phone: (800) 541-6652, 24 hours a day, seven days a week. For Blue Shield of California and Blue Shield of California Life & Health Insurance Company commercial providers . 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. 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. Whom to contact for help with your Blue Shield health plan purchased through Covered California. 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. 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. Box 7168 San Francisco, CA 94120-7168. Enrollment in Blue Shield of California depends on contract renewal. Blue Shield of California is contracted with National Imaging Associates, Inc. Care Health Plan) to provide Medi-Cal health benefits to its Medi-Cal recipients. 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. Phone:(800) 468-9935 . to 6:30 p. Provide your National Provider For help with eligibility verification, claims, and general provider questions, please call the appropriate Customer Care Center phone number below. Visit the Blue Cross Blue Shield Association site to find network providers, hospitals, urgent care, mental health care, chiropractors, acupuncturists, equipment, and supplies. Sep 30, 2019 · California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. Credentialing is determined by line of business - Commercial/Medicare and Medi-Cal. 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. Initial Payment Address Anthem Blue Cross Individual Services P. An ID card contains important information for members to use when accessing the care they need. Any claims incurred prior to 1/1/2024 will be supported by MESVision through 12/31/2024. 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. 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. cow xsbxsyd muamuc gpelahc ovjd nfhudud rfgs jvc cjfb veamj