Blue Shield of California’s Provider Connection is a comprehensive online platform designed to streamline healthcare provider operations, offering efficient tools and resources for medical professionals across California. This digital portal empowers healthcare providers with essential management capabilities, ensuring smooth administrative processes and enhanced patient care coordination.
Official Portal Link
Key Portal Features
Eligibility and Benefits
Providers can:
- Verify patient eligibility
- Review member benefits
- Access member rosters
- Check benefit summaries
- Review preventive health guidelines
Authorization Management
The portal enables providers to:
- Submit medical authorizations
- Check medical authorization status
- Process pharmacy authorizations
- Track authorization status
Claims Processing
Healthcare providers can:
- Submit claims online
- Check claim status
- Access real-time claims information
- Manage electronic transactions
- Review fee schedules
- Address claims issues and disputes
Access and Registration
Who Can Use
- Healthcare providers
- Medical practitioners
- Healthcare facilities affiliated with Blue Shield of California
Login Process
- Visit the Provider Connection website
- Click “Log in / Register”
- Enter credentials
- Access comprehensive provider tools
Additional Resources
Provider Support
- Provider Connection Training
- AuthAccel online authorization training
- Provider Learning Center
- Webinar registration
Network Resources
- BlueCard Program information
- Promise provider resources
- Provider manuals
- Network referral tools
Security and Compliance
Key Compliance Features
- 90-day directory information attestation
- Secure online platform
- Compliance with state and federal regulations
Support Channels
- Message center
- Account management
- Contact support options
- Help resources
- Feedback mechanisms
Special Programs
Specialized Networks
- Blue Shield Promise
- Medi-Cal provider resources
- Medicare D-SNP training
Technology Compatibility
- Compatible browser support
- Online transaction management
- Paperless claim submission via Office Ally
Unique Offerings
Specialized Support
- Wildfire recovery resources
- Find-a-Doctor verification tool
- Comprehensive forms access
Unprovided Information
- Specific mobile app download instructions
- Detailed pricing for services
- Exact login screen design
Blue Shield of California’s Provider Connection represents a robust, secure digital platform enabling healthcare providers to efficiently manage patient interactions, claims, and administrative tasks with comprehensive, user-friendly tools.
Quick Start Recommendations
- Register for an account
- Complete provider attestation
- Explore available resources
- Attend training webinars
Note: Information current as of July 2024, sourced directly from Blue Shield of California’s official provider portal.
FAQ
What is BCBS called in California?
| STATE/TERRITORY | AVAILABLE COMPANIES |
|---|---|
| California | Anthem Blue Cross Blue Shield of California |
| Colorado | Anthem Blue Cross and Blue Shield Colorado |
| Connecticut | Anthem Blue Cross and Blue Shield Connecticut |
| Delaware | Highmark Blue Cross Blue Shield Delaware |
How do I contact Blue Cross Blue Shield of California?For help, call us at the number listed on your ID card or 1-866-346-7198. For more help all the CA Department of Insurance at 1-800-927-4357.
What time does BCBS of California provider services open?Blue Shield of California Provider Services:
Monday through Friday, 6 a.m. to 6:30 p.m. Blue Shield of Promise Health Plan Provider Services: Monday through Friday, 6 a.m. to 6:30 p.m. Available 24/7 for hospital admissions.
https://www.blueshieldca.com/en/provider
The provider tools and resources you need · Eligibility and benefits · Authorizations · Claims · BlueCard Program · Quick links · Promise provider resources · Office
https://providers.anthem.com/california-provider/home
The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer.