Blue shield of ca provider login. If you see a plan you like, call us at (855) 857-2994. (If needed) Provider Connection “Provider” and “MSO” Account Managers automatically have access to view and edit provider directory data. The company complies with applicable state laws and federal civil rights laws and does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, ethnic group identification, medical condition, genetic information, ancestry, Explore Blue Shield of CA Individual and Family healthcare HMO and PPO plans for medical, dental, vision and life coverage. ® Registered Marks of the Blue Cross and Blue Shield Association. CalAIM program information . Phone: (800) 535-9481. 90 per month. Receive email from Anthem Blue Cross (Anthem) Anthem sends provider bulletins, policy change notifications, educational opportunities and other with equivalent data is used by Blue Shield of California (Blue Shield) and/or Blue Shield of California Promise Health Plan (Blue Shield Promise) to add, change, or remove information on an established provider group or facility record. Recent announcements for Blue Shield Promise providers. California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. ) is responsible for. Username Continue Need to access your Blue Cross and Blue Shield (BCBS) login and manage your account? We can get you where you need to go. Enter the Member’s Date of Birth Blue Shield of California. Every plan offers a network of doctors and hospitals to provide you and your family with care. Find a doctor, access mental health resources, and get support Learn how to create and manage your Provider Connection account, verify eligibility and benefits, view authorizations, and more. Blue Shield Employer Connection provides information about Blue Shield healthcare plans, account management and administrator resources. 2 Wellvolution includes Nymbl for select members over 65 years of age interested in improving their balance. Y0118_19_228A_M. Our provider search tool lets you see if your preferred doctor and hospital accepts the plan you’re considering. Find a doctor. Psychiatrists and psychologists are available 8 a. The provider network may change at any time. Increase Text Size Decrease Text Size (888) 626-6780 TTY: 711 Log in | Contact us | Feedback . If you have a high-deductible health plan or a PPO Welcome to the Blue Shield of California Health Plan page. Provider Services Monday – Friday, 8 a. To check if a member qualifies for ECM services, email Blue Shield Promise Enhanced Care Management: ECM@blueshieldca. ®´ Registered Marks Resources for the 2023 tax season including tax form information on your 1095 (1095A, 1095B), 8962, FTB 3895 and government tax agency links. Participating providers are in the Blue Shield PPO network while non-participating providers are not in the PPO network. Download and print commonly requested prior authorization forms procedures, injectable drugs (office administered and home self-administered), and oral/topical drugs, as well as forms you may need to submit your claims or enroll into EDI. Submit logs of approvals, denials, and partial denials for a medical or pharmacy service. Outcomes are based on adherence to the program and other individual factors. Nondiscrimination notice. The documents below have been designed to help RadMD users navigate the prior authorization process for each program Evolent (formerly National Imaging Associates, Inc. Log in to Anthem. www. Get access to your statements, health records, provider directories, real-time nurse chats and more. California Physician’s Service DBA Blue Shield of California is an independent member of the Blue Shield Association. If you have any questions about our programs, please contact your dedicated Evolent See if a particular service or drug requires prior authorization. O. officeally. 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. Blue Shield of California commercial plans have two pharmacy network types: Rx Ultra and Rx Spectrum. If you need a printed Medicare provider directory, please contact Medicare Member Services at (800) 776-4466 or email MemberSvcs@blueshieldca. Outside the United States *Select Blue Cross Blue Shield Global™ or GeoBlue if you have additional international coverage and need to find care outside the United States. Get informed of any changes or Why Blue Shield Promise Health Plan. BrokerWebApp: Blue Shield of California is the best way for brokers to manage their clients' health plans and benefits online. Community Supports member focus; Asthma remediation Find a provider in: • Los Angeles • San Diego Physical changes to an individual’s home environment that ensure health, welfare, and safety, or enable functioning at home if acute asthma episodes may result in hospitalization or seeking emergency services. See eligibility tools, authorizations, claims, benefit summaries and preventive service policies. Explore the plans and member benefits you'll recieve as a Blue Shield of California member, with this interactive and personalized video service. Blue Shield of California makes every Chico, CA 95927-2620 Provider disputes regarding facility contract exception(s) must be submitted in writing to: Blue Shield Dispute Resolution Office Attention: Hospital Exception and Transplant Team P. Provider login Employer login Producer login. 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 California Physicians’ Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Prov_23_203 Individual Practitioner Information Change Form (ICF-01) The data provided on this form or an additional form with equivalent data is used by Blue Shield of California (Blue Shield) and/or Blue Shield of California Physician’s Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Registration allows Blue Shield of CA members to quickly find doctors, view claims, pay bills, and more. However, the dispute process is not intended to address claim corrections, requests for claim information, or inquiries about claim decisions, procedures, and payment rules. Search the prior authorization list below. Blue Shield of California complies with applicable state laws and federal civil rights laws, and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital Community Supports member focus; Asthma remediation Find a provider in: • Los Angeles • San Diego Physical changes to an individual’s home environment that ensure health, welfare, and safety, or enable functioning at home if acute asthma episodes may result in hospitalization or seeking emergency services. Blue Shield of California gathers the information contained in directories from Blue Shield of California makes dental health simple. Blue Shield Provider Connection Reference Guide. Employer-sponsored plans that include Teladoc access may have out-of-pocket costs that vary by plan. All Make the most of your dental or vision plan at Blue Shield of California by accessing your dental ID card, find a dental or vision care provider, in addition to resources for children's plans. Fax: (888) 697-8122 . You can also view Blue Shield’s prior authorization list or contact Blue Shield of Manage your health care from anywhere with the Blue Shield of California App. Enter your username to reset your password for Blue Shield of CA Provider portal. Mental Health Providers California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. Including submitting, prescreening and correcting claims; checking claim status and viewing Explanation of Benefits (EOBs) online,' contacting Provider Services; and 1 Wellvolution and all its associated digital and in-person health programs and services are managed by Solera Health, Inc. com | | | | | | | | | | Welcome new providers, access content to help you get started with Medi-Cal Outreach and Education One-stop learning and resource center for Medi-Cal billers and 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. Providers for Blue Shield of California may log in to our Provider Connection website to view your ID card, check your eligibility and review your plan benefits. Provider News. Make the most of your Blue Shield vision plan: Register for online accounts, select a network vision care provider, visit your vision care provider, and more. 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 How to request Enhanced Care Management. BlueHPN providers offer care to Blue Shield of California members, as well as out-of-area members who purchase this coverage through other Learn more about managing your claims with Blue Shield of California. , and/or Massachusetts Benefit Administrators LLC, based on Product participation. NurseHelp 24/7 is a service mark of Blue Shield of California. Care coordinators The company complies with applicable state laws and federal civil rights laws and does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, ethnic group identification, medical condition, genetic information, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, mental disability, or Search directories of doctors, medical groups, vision care providers, specialists, hospitals, pharmacies, mental health care professionals and urgent care centers in your area. If state licensure of certification is required in order for you to To quickly and easily find out if you, the provider, or a provider referral, participate in the member's plan network*, either log in or register for Provider Connection. Submit a medical authorization request and check status for all plan types. IPA authorization log upload. the Provider Login or the Continue to Verification button; one of which will present. Find operating guidelines for clinical practices, hospitals, health assessment, preventive health, medical fraud prevention guidelines and find resources for providers continuing participation in Blue Shield of California network. 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. Tier 1 Blue Shield of California actuarial estimate of extra benefits assuming maximum coverage over the course of 12 months for Blue Shield Medicare Supplement Plan G Extra. 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. In Los Angeles County, Blue Shield Promise Medi-Cal is contracted with the Local Initiative Health Authority of Los Angeles County (L. BlueHPN providers offer care to Blue Shield of California members, as well as out-of-area members who purchase this coverage through other California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. (800) 541-6652 During non-business hours and holidays, your call may be handled A non-preferred provider (also known as out-of-network provider or non-participating provider) has no agreement with Blue Shield of California, resulting in a lower level of benefits. Blue Shield of California is an independent member of the Blue Shield Association. m. com or use the Sydney Health app to start a Live Chat. Register with us online. Find Your Local BCBS Company 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. Blue Shield of California validates information about providers in its network every three months and credentials contracted providers (or participating providers) at least every three years. Both networks provide you with access to over 68,000 convenient retail pharmacies nationwide including grocery, discount, and drug stores. Eye Doctors. The Blue Shield Provider Connection website gives you easy Please see the request a medical authorization (PDF, 329 KB) instructions for additional detail. Phone:(800) 468-9935 . Virgin Islands. Learn more about managing your claims with Blue Shield of California. com today! Enter your username to get started. , Monday through Friday. 2. The formulary, pharmacy network, and/or provider network may change at any time. Prior authorization generic fax form (PDF, 201 KB). Blue Shield of California and Blue Shield of California Promise Health Plan are independent licensees of the Blue Shield Association L52000-W-BSC-PHP (1/20) Log in to Provider Connection and navigate to the Provider & Practitioner Profiles section. Blue Shield of California and Blue Shield of California Promise Health Plan are independent licensees of the Blue Shield Association. We value you as a member and look forward to working with you to provide quality services. Provider Connection is your source for detailed member eligibility and benefit information, claims status and payment information, authorization status and submission, Blue Shield policies and guidelines, and more. to 6:30 p. Register or log in to provider connection to manage your account and claims. Blue Shield's objective in developing physician and healthcare professional compensation rates is to closely align payments with the resources used by Stay informed about programs, policies, and announcements issued in 2023-2024 by Blue Shield of California and Blue Shield of California Promise Health Plan. ©2024 Blue Cross and Blue Shield Association. Blue Shield of California is an HMO and PDP plan with a Medicare contract. Blue Shield of California and Blue Shield of CaliforniaPromise Health Planare independent licensees of the Blue Shield Association T13822 (9/23) 2-step verification starts September 28, 2023 . board-certified physicians, including pediatricians and family doctors. We’ve identified care options and resources that are in your network, tailored to your unique needs, and accepting new patients. The Blue Shield Broker Connection portal and login. 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. Download and login to the Blue Shield of California mobile app. Enrollment in Blue Shield of California depends on contract renewal. First name. You can provide immediate support to your patients who may need behavioral health care by using the resources available at Blue Shield of California’s For Blue Shield providers. participate in the member's plan network*, either log in or register for Provider Connection. . Login. Log in to file a claim, check benefits and more! If you have never registered, you will need to create a profile. You can provide immediate support to your patients who may need behavioral health care by using the resources available at Blue Shield of California’s Blue Shield of California is committed to providing a fair and transparent provider dispute resolution process. You may also call Blue Shield at (855) 836-9705 (PPO), (844) 250-2878 (HMO) or Covered California at (800) 300-1506. See if your prescriptions, including Teladoc general medical services. Blue Shield Medicare. You can use your bank’s Bill Pay (or similar) service to have payments sent to Blue Shield each month. Blue Shield of California 601 12th Street, Oakland, CA 94607 Your network providers may No problem! Give us some info and we'll retrieve it. . Username Continue 1 Lab testing refers to COVID-19 diagnostic testing, for example in-office at your doctor or ordered by your care provider. 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 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. 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. Prior authorization/coverage determination form (PDF, 136 KB). Email address. NurseHelp 24/7 is a healthcare advice line. Employers; Brokers; Providers; Our site is undergoing maintenance we apologize for any inconvenience. Blue Shield of California Promise Health Plan providers must use this approved clearinghouse: OfficeAlly Payer ID: C1SCA (866) 575-4120 www. Register Now. *Blue Shield of California member plans only Forms. 3 Results may vary. From your member dashboard locate the three lines in the top left corner and press it. 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 Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. To start, you’ll need either your: Member ID (especially for Blue Shield Medicare members) or; 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. To access your login and benefits, we'll help you find your local Blue Cross and Blue Shield company website. Just enter the procedure or drug name in the “Search for Procedures” field. Visit Anthem. Blue Shield's objective in developing physician and healthcare professional compensation rates is to closely align payments with the resources used by California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. Last name. 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 Access your online account at member. 1. Instructions Learn about the authorization basics for providers with Blue Shield of California, including how to submit requests Wellvolution personalized diet and lifestyle programs, where members can choose from over 60 programs, ranging from general well-being, health risk management to treatment and reversal of serious chronic conditions like type 2 diabetes. 3 1 Your client must be a California resident at the time of enrollment. Preventive health guidelines for healthy children, adolescents and adults, organized by age groups and into the following categories: Immunizations, Screenings, topics to discuss with your doctor, injury prevention and immunizations. – 5 p. Blue Shield of California offers health insurance plans for individuals, families, and Medicare beneficiaries. Blue Shield of California 601 12th Street, Oakland, CA 94607 Your network providers may Blue Shield Promise’s network comprises more than 7,000 physicians, 80 hospitals, and hundreds of ancillary medical professionals. How Blue Shield delivers value. Whether you are an individual member, enrolled in Medicare, an employer, provider, or agent with Blue Cross Blue Shield of Michigan, find your login here. Section D 1. Behavioral health resources for Blue Shield providers. 4 A 24/7 service that allows California Physicians’ Service DBA Blue Shield of California is an independent member of the Blue Shield Association. View our provider manual for information about claims, referrals and provider networks and programs. to 5 p. Join Blue Shield Promise provider network. Appropriate medication management for patients with asthma reduces the need for rescue medication—as well as ER visits and missed days of work or school. Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. to 7 p. Choose us as your insurance provider today. Many Blue Shield members have 24/7 access to U. Connect with us: Serving Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. Use this reference guide to learn more. What are your health goals? Take the Blue Health Assessment to reach them now. A. Provider Services – Blue Shield of California. Cancel Your Current Coverage. com. report_problem. 06 rev 08-08-22 Base 09-09-20 Proprietary and Confidential – Blue Shield of California . Get the best search results and support when you log in. The BlueCard® Program links Blue plans across the United States and abroad, through a single electronic network, for claims processing and reimbursement. com Provider Services Monday – Friday, 8 a. Blue Shield of California is increasing online security to keep your accountsafe. 28 • 100% geographic coverage nationally • Available for both self-funded and fully insured clients headquartered in Get vision coverage with the largest vision network in California for as little as $6. Medical authorizations for Blue Shield of California and Blue Shield Promise Health Plan members, including requests for behavioral health services, can be submitted online in AuthAccel. With the right tools, coaching, nutrition counseling and health professional support members can succeed Blue Shield of California is an HMO and PDP plan with a Medicare contract. Asthma is a treatable, reversible condition that affects more than 25 million people in the United States. You will receive notice when necessary. (NIA) to provide medical necessity reviews and prior authorization for advanced imaging, and spine and pain management. Explore resources that help healthcare professionals care for Anthem members. California Physicians’ Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Compare and buy health plans, as well as see if you qualify for tax credits or cost sharing subsides from government programs. California Physicians’ Service DBA Blue Shield of California is an independent member of the Blue Shield 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. They contain the policies, procedures, reference information, and minimum care standards required of Blue Shield Promise providers. For Blue Shield Promise providers. Health insurance products are offered by Blue California Physicians’ Service DBA Blue Shield of California is an independent member of the Blue Shield Association. 27 MB). for Blue Shield of California Promise Health Plan providers. 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. On their site, you'll be able to look up plan benefits, review a claim and more. Recent announcements for Blue Shield providers . If exempt from licensure, include proof of exemption. Forgot your username? No problem! Give us some info and we'll retrieve it. For Account Managers, it will be located on your Account Management Explore the plans and member benefits you'll recieve as a Blue Shield of California member, with this interactive and personalized video service Please select one of the provider options on the right to start the conversation. Access commissions, client lists, and more in one convenient place when you’re a broker with Blue Shield of California. Blue Shield of California complies with applicable state laws and federal civil rights laws, and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital Enrollment in Blue Shield of California depends on contract renewal. Health Assessment. The fees in this schedule are not applicable to facility related charges. Whom to contact for help with your Blue Shield health plan purchased through Covered California. *Check your Evidence of Coverage or policy or call the customer service phone number on your Blue Shield member ID card to determine if your plan includes access to Teladoc. Blue Shield of California Promise Health Plan Medi-Cal provider directories Blue Shield of California and Blue Shield of California Promise Health Plan are independent licensees of the Blue Shield Association L52000-W-BSC-PHP (1/20) Overview of key steps 1. The Blue Shield of California app provides BSC members enhanced 24/7 service and ease-of-access to the information that matters most. 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 California Physician’s Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Blue Cross Blue Shield of Massachusetts brings health insurance plans, medical claims, insurance coverage, We're here to make it easier to find a provider that works for you. Prior authorization urgent expedited fax form (PDF, 126 KB). Employees can access care however they prefer it with our expansive Y0118_22_090A1_C 06152022 Page last updated : 06/15/2022. Pay through your bank. California Advancing and Innovating Medi-Cal (CalAIM) Blue Cross (Anthem) to implement the California Advancing and Innovating Medi-Cal (CalAIM) program. Primary Care Physicians. Blue Shield and/or Blue Shield Promise will confirm that the For request has been processed. Our health plans include affordable pricing with Trio HMO and the flexibility to choose your provider with a PPO. skip to main content Select the Site help link in the upper right corner of the page for a list of site tours and user guides. bcbsm. 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. Apply online or call (888) 221-4767 today! Access Blue Shield of California and Blue Shield of California Promise Health Plan provider procedure manuals. Programs and benefits. Find authorization and referral forms. Care Health Plan) Blue Shield Promise providers can submit medical authorizations online, but pharmacy requests must be faxed. Register or log in now to access exclusive features and tools. Explore health insurance plans, check eligibility and benefits, submit and track claims with Blue Shield of California's Provider Connection. Blue Shield of California’s Blue High Performance Network SM (BlueHPN SM) is a national exclusive provider organization (EPO) alternative to the BlueCard PPO Network offered to employer groups. With a large provider network and outstanding service, our right-fit dental plans support your oral health and overall wellness. Call for questions about: Member eligibility; Blue Shield Express Line; 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 log in to Blue Shield of California Provider Connection website . We encourage you to 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. Take this form to your appointment to file a claim when getting services from a vision provider that is not in the EyeMed provider network. With the right tools, coaching, nutrition counseling and health professional support members can succeed California Physicians’ Service DBA Blue Shield of California is an independent member of the Blue Shield Association. (April, 2024) California Physicians’ Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Welcome to Blue Shield and Covered California. This information is not a complete description of benefits. Official Site of Anthem Blue Cross Blue Shield, a trusted health insurance plan provider. Register now to access Create an account or log in to your Blue Shield provider account. Commonly used Blue Shield of California Member forms available for download. Box 7168 San Francisco, CA 94120-7168. Box 629010 El Dorado Hills, CA 95762-9010 Provider name Provider ID (Blue Shield PIN, provider’s tax ID, or SSN) To access all features and pages of the provider portal, you must log in. Including submitting, prescreening and correcting claims; checking claim status and viewing Explanation of Benefits (EOBs) online,' contacting Provider Services; and Provider login Employer login Producer login. Blue Shield of California complies with applicable state laws and federal civil rights laws, and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital Find the best health insurance plan for you and your family on Blue Shield of California, the trusted provider of quality and affordable coverage. com Blue Shield of California Promise Health Plan offers the following ECM services to eligible Medi-Cal How to upload IPA authorization log (PDF, 51 KB) Provider Connection training webinar (8/2024) View this webinar on how to register, navigate, and use time-saving tools on Provider Connection. OK. citrix. In addition, for fully insured plans lab testing also includes COVID-19 screening testing. Medical authorization status can also be viewed online, regardless of how Blue Shield of California 601 12th Street, Oakland, CA 94607. For Blue Shield of California providers: Choose a Blue Shield Approved EDI clearinghouse from our list. Visit the Blue Cross Blue Shield Association site to find network providers, hospitals, urgent care, mental health care, chiropractors, acupuncturists, equipment, and supplies. Enter your username to get started. *Blue Shield of California 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: Phone: (800) 468-9935, Monday through Friday, 6 a. Blue Shield of California complies with applicable state laws and federal civil rights laws, and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability. You are entitled to full and equal access to services in accordance with the Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of Access your online account at member. Members can talk to their doctor or call Blue Shield Promise Customer Care. Find care Find dental care* MyBlue Log In. 3. Sign in to your Blue Shield account to request an appointment or, access Teladoc 24/7/365 by calling: (800) TELADOC (835-2362) (TTY: 711) Blue Shield of California is contracted with National Imaging Associates, Inc. First name Last name Blue Shield of California participates in the health insurance marketplace Covered California. No matter what size your group is, Blue Shield of California offers flexible plans with unparalleled customer service. Download the list of approved clearinghouses (PDF, 89 KB) For Blue Shield of California Promise Health Plan providers: To receive electronic remittance advices (ERAs) for Blue Shield Promise claims, register with an approved clearinghouse. Login or Register here. The Professional Fee Schedule search function applies to Blue Shield of California providers' professional services only. Access provider tools, manuals, referrals, and news from Blue Shield of California. To get started, follow your bank’s online instructions to set up Bill Pay and be sure to enter the correct Blue Shield account number and mailing address found on your bill. You are responsible for any applicable deductible and co-payment/coinsurance, plus any remaining difference between the billed amount and our allowed amount. Español . Link to Blue Shield of California Provider Connections Log-in. Our Company; Our Mission; Careers; Diversity; Media Resources ©1996-2024 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield The Professional Fee Schedule search function applies to Blue Shield of California providers' professional services only. Explore the BlueCard Program Need help with Provider Connection? Blue Shield of California, an independent member of the Blue Shield Association, is a nonprofit health plan dedicated to providing Californians with access to high-quality health care at an affordable price. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Blue Shield of California makes every For help with eligibility, benefits, prior authorization, claim status, and fee schedule information: 602-864-4320 / 1-800-232-2345 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]. Additional documentation required to process your Enrollment Application is detailed below. Who is eligible for palliative care? Palliative care is a standard service available to all members with Blue Shield of California primary coverage, with the exception of FEP PPO, Medicare Supplement, Shared Advantage, and Cal MediConnect. Blue Shield of California Pharmacy Services P. *Blue Shield of California member Wellvolution personalized diet and lifestyle programs, where members can choose from over 60 programs, ranging from general well-being, health risk management to treatment and reversal of serious chronic conditions like type 2 diabetes. S. Provider manuals address Blue Shield of California Promise Health Plan's contractual and regulatory requirements and are an extension of our provider agreement with your practice or facility. Blue Shield of California 601 12th Street, Oakland, CA 94607. View your ID card, search for doctors, track your claim information, understand your benefits, and more. 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. Find tips and links for Blue Shield of Find a doctor by name, facility, medical group, or specialty, such as pediatrics or psychologist. You can download the app here: View your ID card, search for doctors, track your claim Member Services: (866) 346-7198 (TTY:711) Look up doctors and facilities near you. 2 Plan F Extra is only available to applicants who turned 65 before January 1, 2020, or first became eligible for Medicare benefits due to disability before January 1, 2020. View latest announcements . Provider; Agent; Supplier; About Us. Blue Shield of California Promise Health Plan. and Group Hospitalization and Medical Services, Inc. Error: There are some errors, please correct them below. Find resources and information about behavioral health services for providers serving Blue Shield of California Promise Health Plan members. If your client had a Blue Shield IFP dental plan or a dental + vision package canceled, they must wait six months from the date of cancellation before they can reapply. But first, we'll need some information to direct you to your local BCBS company. Directories Make your own doctor directory. With a Medicare Advantage HMO plan, you have a primary care physician (PCP) who will be responsible for providing you with basic and routine medical care. You can also recover your username if you forgot it. 3 Blue Shield Provider Allowances: is the term used to describe the compensation schedules, as further described in Only clearinghouses approved by Blue Shield of California (PDF, 82 KB) may be used to connect to Blue Shield of California. Blue Shield always tries to show the most up-to-date provider information on our website, but this information can change at any time. Including submitting, prescreening and correcting claims; checking claim status and viewing Explanation of Benefits (EOBs) online,' contacting Provider Services; and The BlueCard® Program links Blue plans across the United States and abroad, through a single electronic network, for claims processing and reimbursement. 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 | Blue Shield of CA Blue Shield of California Network Provider, please contact Provider Information & Enrollment at (800) 258-3091. , seven days a week. Specialists. Box 629010 El Dorado Hills, CA 95762-9010 Provider name Provider ID (Blue Shield PIN, provider’s tax ID, or SSN) California Physician’s Service DBA Blue Shield of California is an independent member of the Blue Shield Association. 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. In the United States, Puerto Rico and U. Prescription Drugs. Claims See claims phone numbers and mailing addresses Blue Shield of California Promise Health Plan’s provider incentive programs are designed for our network primary care practices and Independent Practice Associations (IPAs) that provide high-quality healthcare services to our valued Medi-Cal plan members. Blue Cross and Blue Shield (BCBS) members can search for doctors, hospitals and dentists. 06/2020 Blue Shield Provider Connection Reference Guide for Blue Shield of California Promise Health Plan providers 02/21/23 California Physicians’ Service DBA Blue Shield of California is an independent member of the Blue Shield Association. But first, we'll need some information to direct Our provider search tool lets you see if your preferred doctor and hospital accepts the plan you’re considering. Individual and Family plans specialists and other healthcare providers – that have agreed with Blue Shield Credentialing is determined by line of business - Commercial/Medicare and Medi-Cal. Vision Benefit Claim (PDF, Log in to your Blue Shield Account to access additional forms available in the member account Chico, CA 95927-2620 Provider disputes regarding facility contract exception(s) must be submitted in writing to: Blue Shield Dispute Resolution Office Attention: Hospital Exception and Transplant Team P. Shop plans for Medicare, Medical, Dental, Vision & Employers. Behavioral health – Get virtual care from licensed clinical social workers, marriage and family therapists, and other mental health professionals, available 7 a. Cannot complete your request. Disability Services. Health 2 Independent Provider Model Agreement v4. Your local BCBS login page is 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. Save Time With Live Chat Find the information you need about your health care benefits by chatting with an Anthem representative in real-time. Need to access your Blue Cross and Blue Shield (BCBS) login and manage your account? We can get you where you need to go. Back to top Department of Managed Health Care Anthem Blue Cross of California offers affordable Medicare, Medicaid, medical, dental, and vision insurance. From simple questions like quick ways to de-stress or how to find more time in your schedule, to more difficult issues like finding support after the loss of a loved one, LifeReferrals 24/7SM is here for you. FQHC (Federally Qualified Health Center) clinics and doctors Download FQHC directory (PDF, 1. 2 Review your Blue Shield member ID card for the letters “ASO” (Administrative Services Only) to learn if you are on an ASO plan. Maintenance page for the Blue Shield of California corporate website. The Blue Shield Provider Connection website gives you easy access to the tools you need to serve our members and support your practice. Medication Policy Since May 1, 2024, all specialty medications ordered by providers through our Medication Drop Ship Program for treating Blue Shield commercial PPO plan members in California are now managed through ASPN on behalf of Blue Shield. Dentists. Non-formulary exception and quantity limit exception (PDF, 129 KB). CareFirst BlueCross BlueShield The information on this page will help you identify special configuration codes you can use, as needed, to bill for certain services used by Blue Shield of California members because they have been added to meet either temporary or permanent services mandated by state, federal or regulatory requirements, in response to public health emergencies or for other California Physicians’ Service DBA Blue Shield of California is an independent member of the Blue Shield Association. (800) 541-6652 During non-business hours and holidays, your call may be handled by our automated phone system. Provider Connection is an online platform for Blue Shield of CA providers to verify eligibility, check claim status, request authorizations, and more. mqvla idjhw jqpw scmuadfq wxpw uxa afxqtxiz weg qzxc dwidy