Blue Shield of California Promise Health Plan requires that you submit all encounters electronically. We encourage you to submit all your claims and receive your payments electronically as well, for faster processing and payment, using electronic data interchange (EDI). EDI allows paperless encounter submissions, as well as billing and payment for healthcare services and supplies, automating many types of routine inquiries.
Using EDI, you can automatically post electronic remittance advice (ERA) to your practice management system, reducing data entry, speeding up patient billing, and freeing up staff for more important tasks.
To receive electronic remittance advices (ERAs) for Blue Shield Promise claims, register with an approved clearinghouse. Download the approved list of clearinghouses (PDF, 89 KB).
To send Blue Shield Promise claims electronically, use only the approved clearinghouse listed below:
Get paid electronically
Electronic funds transfer (EFT) allows you to have your claims payments deposited directly into your business account, minimizing your risk of lost checks or lockbox delays.
Access our companion guides for trading partners who exchange electronic transactions directly with us.
Find the information and forms you need to enroll in ERA and EFT.
Learn about Blue Shield Promise code submission requirements for submitting claims and encounters when reporting physician administered drugs for Medi-Cal and Cal MediConnect members.
Communicate your questions and concerns to Blue Shield Promise and learn how to appeal or dispute a claim payment.
Access network provider tools on Provider Connection website.
Health Care Options: (844) 580-7272 , Monday through Friday from 8 a.m. — 6 p.m.
For information on Blue Shield Promise plans for your health care, call the Department of Health Care Services at (800) 430-4263 , or visit https://www.healthcareoptions.dhcs.ca.gov/ .
Blue Shield of California Promise Health Plan is a managed care organization, wholly owned by Blue Shield of California, offering Medi-Cal Plans.
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California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association.
The provider network may change at any time. You will receive notice when necessary.
Blue Shield of California Promise Health Plan complies with applicable state laws and federal civil rights laws, and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability.
Blue Shield of California Promise Health Plan cumple con las leyes estatales y las leyes federales de derechos civiles vigentes, y no discrimina por motivos de raza, color, país de origen, ascedencial, religión, sexo, estado civil, genero, identidad de genero, orientación sexual, edad ni discapacidad.
Blue Shield of California Promise Health Plan 遵循適用的州法律和聯邦公民權利法律，並且不以種族、膚色、原國籍、血統、宗教、性別、婚姻 狀況、性別認同、性取向、年齡或殘障為由而進行歧視。
Blue Shield of California Promise Health Plan, 3840 Kilroy Airport Way, Long Beach, CA 90806
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Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association.