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Blue Shield of California
What is attestation?
In accordance with state and federal law, contracted providers and facilities must attest to the accuracy of their directory information at least every 90 days.
Providers and facilities that fail to comply will be suppressed from our directories.
Please review directory information to ensure its accuracy before attesting.
What causes suppression?
As a participant in the Blue Shield of California or Blue Shield Promise Health Plan network, you must verify your directory information at least every 90 calendar days to meet both state and federal requirements. Because you have not responded to our prior notifications, we are required to suppress your information from our provider directory until you attest to its accuracy. If you have questions, call the Provider Customer Service team at (800) 541-6652 from 6:00 a.m. to 6:30 p.m. PT, Monday through Friday.
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Online dispute process enhancements
You can now file disputes online for Blue Shield Medicare and Blue Shield Promise Medi-Cal claims.
We’ve also revised the process for submitting bulk disputes, updated Submitted disputes page and added individual pages for each dispute.
See what’s new
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Verify eligibility of Blue Shield of California, Blue Shield of California Promise Health Plan, other Blue plan and Federal Employee Program members, and access associated benefits information.
Eligibility verification
PCP/Medical group patients roster
Benefit summaries
Preventive health guidelines
Submit and confirm authorizations and approval of medical and pharmacy services prior to services being rendered.
Request medical authorization
Request pharmacy authorization
Pre-service review for out-of-area members
Prior authorization forms and list
Clinical policies and guidelines
Authorization log upload
Access tools to prescreen, submit and check the status of submitted claims.
Claim status
Professional fee schedule
Claims routing tool
Electronic transactions management
Claims submission instructions
Callers to our phone lines are currently experiencing long wait times. If you need information about eligibility, benefits or claims, or want to submit or review an authorization, the best way to get up-to-date information is through our on-line resources. If you absolutely need to call, please try again at a later date. We appreciate your understanding.
The BlueCard® Program links Blue plans across the United States and abroad through a single electronic network for claims processing and reimbursem*nt. When an out-of-area Blue plan member seeks medical care from your office, use our tools to simplify claims submission to BlueShield of California.
BlueCard Program home page
AccessClaimsRoutingTool
CheckeligibilityofBlueplanmembers
CheckBlueCardclaimstatus
Find BlueCard Program resources
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Promise provider resources
Find information about Promise Medi-Cal and Cal MediConnect, our policies, procedures and programs.
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Forms
Access commonly requested forms for patient care activities, credentialing, and more.
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Blue Shield/Blue Shield Promise network referrals
Use the Find-a-Doctor tool to verify provider participation in one of our plan networks.
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Learn about our tools and how to use them in our upcoming webinars.
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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.
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