The provider tools and resources you need

On Provider Connection you can verify eligibility, check claim status, and request authorizations online. You can also download member rosters, file a dispute, and submit an attestation.

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The provider tools and resources you need

On Provider Connection you can verify eligibility, check claim status, and request authorizations online. You can also download member rosters, file a dispute, and submit an attestation.

Eligibility and benefits

Verify eligibility and review member benefits.

Authorizations

Submit and confirm prior authorization for medical and pharmacy services.

Claims

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.

Explore the BlueCard Program

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.

Office Ally

Go paperless by submitting claims and managing payments online.

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.