Blue cross blue shield of california providers

Quality Care That’s Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Learn more about our Total Care and Blue Distinction® Specialty Care designation programs and find a designated doctor or hospital that meets your needs.

Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs.

Claims

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.

Search Blue Shield Promise Medi-Cal's provider directory to find a doctor. We offer a variety of primary care doctors and urgent care clinics near your home.*

Provider directories by service area

Los Angeles County

Directory, English (PDF, 27 MB)

Directory, Spanish (PDF, 23.7 MB)

San Diego County

Directory, English (PDF, 14.3 MB)

Directory, Spanish (PDF, 23.6 MB)

Urgent care clinics directory (PDF, 38 KB)

For life or limb-threatening emergencies, always call 911 or your local emergency services.

Nurse Advice Line

If you need help deciding whether you or your child needs to see a doctor or knowing what to do if your symptoms get worse, connect with a registered nurse who will answer your questions. It's free and easy.

Our nurses speak English and Spanish. Interpretation services for other languages are available upon request.
Call toll-free:(800) 609-4166 (TTY: 711), 24 hours a day, 7 days a week.

NOTE: You do not need to call the Nurse Advice Line before getting health care.

Provider directory inaccuracies

If you believe there may be an inaccuracy or error in our directory, please let us know:

Submit online form to report inaccuracies electronically

Los Angeles County

  Phone:(800) 605-2556 (TTY: 711), 8 a.m. to 6 p.m., Monday through Friday
  Blue Shield of California Promise Health Plan
Member Services
601 Potrero Grande Dr.
Monterey Park, CA 91755

San Diego County

  Phone:(855) 699-5557 (TTY: 711), 8 a.m. to 6 p.m., Monday through Friday
  Blue Shield of California Promise Health Plan
Member Services
3131 Camino Del Rio North, Suite 1300
San Diego, CA 92108

The Blue Shield of California Provider Connection website is available to Blue Shield of California Promise Health Plan network providers for authenticated (post-login) activities such as verifying member eligibility and checking claim status.

Use Provider Connection to:

  • Verify member eligibility and benefits
    Search for up-to-date eligibility and benefits information, plus member ID cards.
  • Create a member roster
    Download a roster of members who have chosen you as their primary care physician or medical group.
  • View authorization status
    See the status of your medical or pharmacy authorization requests.
  • Check claim status
    Review claim records and explanations of benefits from the current date back to two years prior.

While Provider Connection provides tools for accessing member information, this Blue Shield Promise provider website is your resource for forms, processes, news, and other information specific to Blue Shield Promise.

If you are also part of the Blue Shield of California network, you will have a single point of access to member information, which will simplify management tasks for you.

Getting started

  1. To begin using Provider Connection, your organization must register to create an account.
     
  2. To learn more about Provider Connection, view the Blue Shield Promise Provider Connection Guide for detailed instructions on how to use the authenticated tools available to you.

Provider Connection help

Visit the Provider Connection help page for tips on account registration and management, claims, member eligibility, and more.

Get help

Sign up for webinars

Register for upcoming webinars about working with Blue Shield Promise and our members.

Sign up today

Create Provider Connection account

Register to access Provider Connection tools and resources.

Create an account

Is Blue Shield of California the same as Blue Cross Blue Shield?

Blue Shield of California is a Registered® mark of the BlueCross BlueShield Association, an association of independent Blue Cross and Blue Shield plans.

Can you use Blue Cross Blue Shield California in any state?

The BlueCard® Program gives your employees access to covered services–including emergency and urgent care–almost everywhere in the United States and in 170 countries.

Is Blue Shield of California a PPO or HMO?

We offer access to a wide range of doctors, specialists, and hospitals to help you find care wherever you live or work. Our PPO, HMO, dental, and vision networks are among the largest in California.

What kind of health insurance plan is Blue Shield of California?

Blue Shield of California is the only insurer in California that will continue to offer Preferred Provider Organization (PPO) plans in every ZIP Code across the state. Our PPO plans give members access to the only statewide provider network that includes more than 5658,000 doctors and 325 hospitals.