Blue shield of california provider services phone number

For help with eligibility verification, claims, and general provider questions, please call the appropriate Customer Care Center phone number below. Note that Anthem is also available 24/7 to accept claims, prior authorization requests, and more via the Availity Portal.

Customer Care Centers

Customer Care Center for Medi-Cal Managed Care (Medi-Cal)


Hours: Monday to Friday 7 a.m. to 7 p.m.

Outside L.A. County:

Blue shield of california provider services phone number

Phone:

1-800-407-4627

TTY:

1-888-757-6034

Inside L.A. County:

Phone:

1-888-285-7801

L.A. Care:

1-866-522-2736

For after-hours support, including member eligibility verification and after-hours requests for interpreter services, call the 24/7 NurseLine:

24/7 NurseLine Phone:

1-800-224-0336

TTY:

1-800-368-4424

Customer Care Center for Major Risk Medical Insurance Program (MRMIP)


Hours: Monday to Friday 8:30 a.m. to 5 p.m.

Phone:

1-877-687-0549

TTY:

1-888-757-6034

For after-hours support, including member eligibility verification and after-hours requests for interpreter services, call the 24/7 NurseLine:

24/7 NurseLine Phone:

1-800-224-0336

TTY:

1-800-368-4424

Customer Care Center for Anthem Blue Cross Cal MediConnect Plan (Medicare-Medicaid Plan)

Phone:

1-855-817-5786

Fax:

1-888-235-8468

Fresno/Madera:

1-559-353-3500

Los Angeles:

1-866-465-2272

Sacramento/Bay Area:

1-916-589-3030

Tulare/Kings:

1-559-623-0480

Receive email from Anthem Blue Cross (Anthem)

Anthem sends provider bulletins, policy change notifications, educational opportunities and other provider updates via email. Use the Provider Maintenance Form to update your email.

Interpreter Services

Interpreter services for Medi-Cal


Hours: Monday to Friday 8 a.m. to 5 p.m.


Phone:

1-800-407-4627

Interpreter services for MRMIP


Hours: Monday to Friday 8 a.m. to 5 p.m.


Phone:

1-877-687-0549

For after-hours interpreter services, use the 24/7 NurseLine for Medi-Cal and MRMIP:

Phone:

1-800-224-0336

TTY:

1-800-368-4424

Email a Provider Experience associate

Did you know that most questions and issues can be resolved by using the Anthem self-service tools? Please use Availity for inquiries like payment disputes, provider data updates, claims status, and member eligibility, etc. You can also live chat with an Anthem associate from within the Availity secure site.

For other issues, you can message the Provider Experience team. Your Provider Experience representative will respond – usually within two business days.

Utilization Management (UM)

UM department for Medi-Cal


Hours: Monday to Friday, 8 a.m. to 5 p.m.

Phone:

1-888-831-2246

Fax:

1-800-754-4708

UM department for MRMIP


Hours: Monday to Friday, 8 a.m. to 5 p.m.


Phone:

1-877-273-4193

Fax:

1-800-754-4708

Pharmacy

Pharmacy Prior Authorization Center for Medi-Cal and MRMIP


Hours: Monday to Friday 7 a.m. to 7 p.m.

Phone:

1-844-410- 0746

Fax:

1-844-474-3345

Pharmacy Prior Authorization Center for Anthem Blue Cross Cal MediConnect Plan

Phone:

1-855-817-5786

Fax:

1-800-359-5781

Case Management

Case Management department for Medi-Cal


Hours: Monday to Friday, 8 a.m. to 5 p.m.


Phone:

1-888-334-0870

Fax:

1-866-333-4827

Case management for Anthem Blue Cross Cal MediConnect Plan

Care Management support is available 24/7 through Anthem Blue Cross Cal MediConnect Plan Customer Care at 1-855-817-5786.

Community-Based Adult Services (CBAS) and Long-Term Services and Support (LTSS)

CBAS and LTSS Department for Medi-Cal and MRMIP

Hours: Monday to Friday, 8 a.m. to 5 p.m.

Phone:

1-855-871-4899

Fax:

1-855-336-4041

Provider tools & resources

    • Log in to Availity
    • Learn about Availity
    • Prior Authorization Lookup Tool
    • Prior Authorization Requirements
    • Claims Overview
    • Reimbursement Policies
    • Provider Manuals, Policies & Guidelines
    • Referrals
    • Forms
    • Provider Training Academy
    • Pharmacy Information
    • Provider News & Announcements

    Interested in becoming a provider in the Anthem network?

    We look forward to working with you to provide quality services to our members.

    What is the member service phone number Blue Shield of California?

    Talk with a registered nurse anytime you have health-related questions. To learn about discounts on chiropractic services, massage, gym memberships and more, call Blue Shield Member Services at (800) 642-6155.

    What is BCBS provider phone number?

    1 (888) 630-2583Blue Cross Blue Shield Association / Customer servicenull

    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.

    How do I file a claim with Blue Cross Blue Shield of California?

    Claims should be submitted to Blue Shield of California via the Real-Time Claims web tool or electronically using Electronic Data Interchange, though they can also be submitted by mail.