Claims Show 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. Provider Connection is your online source for current, detailed member eligibility and benefit information, claims status and payment information, authorization status and submission, Blue Shield policies and guidelines, and more. Registered users can quickly access a variety of online resources, including: Member eligibility and benefit information in the Eligibility & benefits section:
Note: Registered providers can access eligibility, authorizations and claims information for most Blue Shield members (does not include Medicare+Choice membership). Claims or authorizations not processed by Blue Shield of California, which may include Pharmacy, Behavioral Health, or Dental benefits, are not available online. Register for Provider ConnectionProviders, billing services, and management service organizations may register online in minutes. In order to register, you must provide your provider organization tax identification number. Begin registration, or to determine if you organization already has an Account Manager by entering your organization's Tax ID. For security reasons, if someone from your organization has already registered, please contact that Account Manager in order to obtain your own user account. Each user of the Provider portal is required to have their own unique username and password. Sharing of usernames and passwords violates the Provider Connection portal terms of use and will result in the account being disabled. Organizations are also prohibited from using “automated” scrapping programs on our site to mine data. Scrapping programs impact portal performance and will result in the account being disabled. Join our provider networksTo enjoy the full benefits of Provider Connection, including access to your claims information, you must either join our networks, or request a non-participating provider record. This also allows you to exchange electronic claims transactions with us. Learn how to join our provider networks If you have any questions about our plan benefits, procedures and other topics, contact Provider Services. For your convenience, we now have a dedicated phone line. Call us at (800) 468-9935 [TTY 711], 6 a.m. to 6:30 p.m., Monday through Friday. Learn about our preventive benefit policies and ensure preventive benefits are correctly configured and applied with the right billing codes. Find preventive health guidelines for healthy children, adolescents and adults including immunizations, screenings, patient-doctor discussion topics, and injury prevention. Is Blue Cross Blue Shield the same as Blue Cross of California?In California Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association.
Where do I send my California Blue Shield claim?Blue Shield of California. P.O. Box 272540. Chico, CA 95927-2540.. Blue Shield of California BlueCard Program. P.O. Box 272630. Chico, CA 95927-2630.. Blue Shield of California Promise Health Plan. 601 Potrero Grande Dr. Monterey Park, CA 91755.. How many Blue Shield members are in California?Blue Shield of California is a tax-paying, nonprofit, independent member of the Blue Shield Association with 4.7 million members, 7,800 employees, and $22.9 billion in annual revenue.
How do I cancel my Blue Shield of California?You must call Customer Service, (855) 836-9705, to have them cancel your current medical plan because, legally, Blue Shield cannot cancel your plan without your authorization.
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