Tools & resources for providers
Verify eligibility, check claim status, and request authorization. You can also download member rosters, file a dispute, and submit an attestation.
Tools & resources for providers
Verify eligibility, check claim status, and request authorization. You can also download member rosters, file a dispute, and submit an attestation.
Authorizations
Submit and confirm prior authorization for medical and pharmacy services.
Claims
Check status of submitted claims, find EFT transactions and download EOBs.
Verify eligibility and review member benefits.
Submit and confirm prior authorization for medical and pharmacy services.
Check status of submitted claims, find EFT transactions and download EOBs.
BlueCard Program
The BlueCard® Program links Blue plans across the United States and abroad through a single electronic network for claims processing and reimbursement. 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.
Need help with Provider Connection? See Provider Connection training or the Provider Connection Reference Guide (PDF, 3 MB)
Quick links
Promise provider resources
Find information about Promise Medi-Cal, our policies, procedures and programs.
Forms
Access commonly requested forms for patient care activities, credentialing, and more.
Blue Shield/Blue Shield Promise network referrals
Find-a-Doctor tool to verify provider participation in one of our plan networks.
Sign up for webinars
Learn about our tools and how to use them in our upcoming webinars.
Stay up-to-date with provider training
Access training resources for Medicare D-SNP and Promise Medi-Cal providers.
