- Blue shield promise provider login. Learn more about managing your claims with Blue Shield of California. California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. Plan closures and transitions to Medicare Advantage HMO and D-SNP plans. . Cov Kev Pab Txhais Lus Tsis Them Nqi. We welcome physicians and other healthcare professionals. We believe the more you know, the better you can manage your health. Enter the email address you would like to have as your username. The driver must also provide a valid: Driver’s license; Car registration; Car insurance; Limits of NMT Blue Shield Promise covers NMT rides to medically necessary Blue Shield Promise providers can submit medical authorizations online, but pharmacy requests must be faxed. Blue Shield of California Pharmacy Services P. Blue Shield of California is here for you. Our PPO, HMO, dental, and vision networks are among the largest in California. S. However, the dispute process is not intended to address claim corrections, requests for claim information, or inquiries about claim decisions, procedures, and payment rules. Apr 5, 2024 · California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. Provider resources - Behavioral health services program . Including submitting, prescreening and correcting claims; checking claim status and viewing Explanation of Benefits (EOBs) online,' contacting Provider Services; and disputing a claim decision. O. The provider network may change at any time. Download rosters of patients who have selected you as their personal physician or belong to your IPA/medical group. We will send you a dental ID card for your dental coverage. Here are steps you can take to make the most of your dental plan: 1. Oct 1, 2023 · California Physician’s Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Learn how to register, access, and use the self-service portal for Blue Shield Promise providers. For Blue Shield Promise providers. Use this reference guide to learn more. Join Blue Shield Promise provider network. , Monday through Friday, excluding holidays. Access provider tools, manuals, referrals, and news from Blue Shield of California. 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 Promise Health Plan Provider Services: Phone: (800) 468-9935, 6 a. For Blue Shield providers. This is the email address where you will receive your registration confirmation, secure message notifications, and other important updates from Blue Shield Promise Health Plan so please make sure this is a valid, private email address. If you have questions related to Blue Shield Promise member's eligibility or benefits, contact Provider Services at (800) 468-9935. Health Care Options: (844) 580-7272 {TTY: {800) 430-7077}, Monday through Friday from 8 a. Learn about policies, programs, and how to join the network. Blue Shield of California Promise Health Plan’s provider incentive programs are designed for our network primary care practices and Independent Practice Associations (IPAs). Blue Shield always tries to show the most up-to-date provider information on our website, but this information can change at any time. Fax: (888) 697-8122. Welcome to your Blue Shield dental plan. Jul 7, 2023 · California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. Apr 22, 2024 · Blue Shield of California Promise Health Plan (Blue Shield Promise) wants to help keep you and your family healthy. — 6 p. Apply for individual or family medical, dental, and life insurance plans. Register or log in to provider connection for Blue Shield Promise members. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. If you’re already a provider with us, get a re-credentialing application to keep participating in our network. Fax: (916) 350-8860. Provider Connection is the online portal for Blue Shield of CA providers to verify eligibility, check claim status, request authorizations, and more. Jun 26, 2024 · California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. Learn about joining our network, get an application and sign up for an account. Phone: (800) 535-9481. 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 Promise Member Services. Sep 30, 2019 · California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. Username Continue Access Blue Shield of California's online portal for registered providers to manage member eligibility, claims, and payments. Enter your username to get started. Nov 14, 2022 · Teladoc general medical 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. The Blue Shield Coordinated Choice (HMO) plan and all Blue Shield Promise Cal MediConnect (CMC) plans ended December 31, 2022. 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. You will receive notice when necessary. Koj yuav thov tau kom muaj neeg los txhais lus rau koj thiab kom neeg nyeem cov ntawv ua lus Hmoob. Pacific time, Monday through Friday: We offer access to a wide range of doctors, specialists, and hospitals to help you find care wherever you live or work. The Blue Shield Provider Connection website gives you easy access to the tools you need to serve our members and support your practice. Blue Shield of California welcomes you. To access Provider Connection, you need to register and log in with your username and password. to 6:30 p. Blue Shield of California 601 12th Street, Oakland, CA 94607. Find information and tools for providers who serve Medi-Cal members through Blue Shield Promise Health Plan. Explore health insurance plans, check eligibility and benefits, submit and track claims with Blue Shield of California's Provider Connection. California Physicians’ Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Verify and learn more about eligibility of Blue Shield of California, Blue Shield Promise, Federal Employee Program and other Blue plan members. The Blue Shield Broker Connection portal and login. Contact us For questions about your vision coverage or benefits, please contact Vision Member Services at the following numbers, from 8 a. m. – 6 p. Oct 2, 2023 · If you have any questions about the renewal process or need help with the renewal packet: Call Blue Shield of California Promise Health Plan Medi-Cal Retention Department at (855) 636-5251 (TTY: 711), 7:30 a. , Monday through Friday. Tell your provider that you have Blue Shield† vision care through EyeMed, and the vision provider will verify your coverage. Find out how to verify member eligibility, check claims, submit authorizations, and access resources. Providers can voice questions and concerns to the Blue Shield of California Promise Health Plan Provider Services Department by calling, mailing a letter, sending an email, or visiting in person. Many Blue Shield members have 24/7 access to U. Yog xav tau kev pab, hu rau peb ntawm tus xov tooj nyob hauv koj daim yuaj ID los sis 1-866-346-7198. These directories provide the lists of Blue Shield of California Promise Health Plan’s network providers* to assist you in choosing a health care provider. Interactive resource guide for Blue Shield Promise ICF/DD providers eLearning course. Blue Shield Promise’s network comprises more than 7,000 physicians, 80 hospitals, and hundreds of ancillary medical professionals. 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. Blue Shield Promise Health Plan will never 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. Access commissions, client lists, and more in one convenient place when you’re a broker with Blue Shield of California. 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. 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. board-certified physicians, including pediatricians and family doctors. Apr 22, 2024 · Blue Shield Promise Medi-Cal provides mental health and substance use disorder services through primary care physicians (PCPs), licensed behavioral health providers, and county providers and agencies. We offer access to a wide range of doctors, specialists, and hospitals to help you find care wherever you live or work. Learn how to register, log in, and use the tools on Provider Connection website for Blue Shield of California Promise Health Plan providers. Blue Shield Promise providers can submit medical authorizations online, but pharmacy requests must be faxed. Blue Shield Promise Medi-Cal Member Services Oct 1, 2022 · Blue Shield of California Promise Health Plans are for Californians eligible for Medi-Cal (Medicaid in California). Blue Shield Promise Medi-Cal Member Services Aug 7, 2023 · To get reimbursed, you must tell Blue Shield Promise by phone, email, or in person that you tried and weren’t able to get a ride from Blue Shield Promise Transportation Services. July 2024 Blue Shield Promise Medi-Cal Provider Manual (PDF, 3. Phone: (800) 468-9935 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. to 5 p. The status of all medical and pharmacy requests can be viewed in AuthAccel for both Blue Shield and Blue Shield Promise members, regardless of how they are submitted. Box 7168 San Francisco, CA 94120-7168. January 19, 2021 – The Blue Shield of California Promise Health Plan provider website has been updated to reflect the following changes in pharmacy benefit management, effective January 1, 2021: 1) our Medicare contract has been transferred to Blue Shield of California; 2) pharmacy claims are now processed by CVS Health; and 3) a new page has Our provider programs for the Blue Shield of California Promise Health Plan Medi-Cal insurance give opportunities for us to collaborate with and support our healthcare providers. 06/2020 Blue Shield Provider Connection Reference Guide for Blue Shield of California Promise Health Plan providers 02/21/23 Blue Shield of California Promise Health Plan Provider Services: Phone: (800) 468-9935, 6 a. Provider Services Login to your Provider Portal to: Featured Resources Let’s Connect We’d love to discuss Promise Health Plan with you. , Monday through Friday . 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. We have programs and services to help you stay active and fit, manage chronic conditions like diabetes, keep a healthy weight, and eat healthy. Blue Shield of California is committed to providing a fair and transparent provider dispute resolution process. Jun 29, 2023 · California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee 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. Log in to your member web app to manage your health insurance plan, view claims, find doctors, and access wellness resources. 6 MB) July 2024 Blue Shield Promise Nursing Facility Reference Guide (PDF, 379 KB) After reviewing the manuals, complete the Acknowledgment of Blue Shield Promise Provider Manual form (PDF, 313 KB) and return it to us by fax or email: Fax: (323) 889-5418 California Physicians’ Service DBA Blue Shield of California is an independent member of the Blue Shield Association. A provider network administrator can address many of these questions and concerns very quickly. Find out how to check claims, eligibility, messages, and more. Explore the BlueCard Program Need help with Provider Connection? 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. We offer plans, comprehensive benefits, and access to a large network of providers across the state. Provider directories by service area Please note all providers listed in the posted Provider Directory are effective as of the time of posting. Get your ID card. xmmog vbn pikkm viiyw yegoi qae bnzrbq gjqip inax heszwi