Routing destination

Blue Shield of California

The first three characters on the member’s current ID card identify this BlueCard home plan. Use the terminal trading partner below for the published electronic routes.

Enhanced claim statusEDI 276/277, Availity ECS, or portal automation

Available

EligibilityEDI 270/271

Available

Appeals agentAI appeals workflow

Available

Phone and fax contacts

Numbers vary by plan, service, and department. Check the member’s ID card before calling or sending a fax.

Phone lines12

(800) 334-5847Blue Shield of California phone treeMember service line for Blue Shield of California (CalPERS). Provider callers are redirected to a separate number.Answered by: Automated phone menu
(800) 393-6130Blue Shield of California phone line (800) 393-6130Route Blue Shield of California callers: providers are sent to a separate number, and members use the main line.Answered by: Automated phone menu
(800) 443-5005Blue Shield of CaliforniaAsks whether the caller is a healthcare professional and directs providers to a separate provider number.Answered by: Automated phone menu
(800) 541-6652Blue Shield of California Provider Customer ServiceBlue Shield of California provider customer service line that asks for an NPI or tax ID before self-service, and sends members to member services.Answered by: Automated phone menu
(800) 585-8111Blue Shield of California Dental Phone LineBlue Shield of California dental plan line that asks whether the caller is a healthcare provider.Answered by: AI assistant
(800) 622-0632Blue Shield of California BlueCard Program HelplineBlue Shield of California helpline for the BlueCard program covering benefits, claims, mailing addresses and BlueCard information.Answered by: Automated phone menu
(800) 776-4466Blue Shield of California Medicare Customer ServiceBlue Shield of California Medicare customer service line. It asks whether the caller is a healthcare professional and redirects providers to a separate number.Answered by: Automated phone menu
(800) 786-7474Blue Shield 65 Plus Medical Management DepartmentBlue Shield 65 Plus medical management line where providers identify themselves by NPI or tax ID and choose behavioral health or medical topics.Answered by: Automated phone menu
(800) 873-3605Blue Shield of California Stanford Customer ServiceAsks whether the caller is a healthcare professional and directs providers to a separate provider number.Answered by: Automated phone menu
(855) 599-2657Blue Shield of California member lineBlue Shield of California member concierge line that screens out healthcare professionals and gives them the provider number.Answered by: Automated phone menu
(877) 274-6565Blue Shield of California Interplan Plan-to-Plan LineBlue Shield of California Interplan plan-to-plan line whose recording says it will transfer the caller, and a live agent named Megan answered.Answered by: Recorded message → Live person
(888) 239-6469Blue Shield Medicare Rx Phone TreeMedicare prescription plan line that sends healthcare professionals to a separate provider number and member callers to member service.Answered by: Automated phone menu

Phone numbers110

Blue Shield of California phone numbers
Channel and number	Payer Notes	Department	Specialties
phone(800) 268-9012	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	LIBERTY DENTAL	Dental Care
phone(800) 322-6384	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	DENTI-CAL	Dental Care
phone(800) 323-7268	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	LINECO	Hospital, Hospital - Inpatient
phone(800) 441-9188	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CUSTOMER SERVICE	Hospital, Hospital - Inpatient
phone(800) 451-0287	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CUSTOMER SERVICE	Hospital, Hospital - Inpatient
phone(800) 523-4702	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	NATIONAL ELEVATOR INDUSTRY HEALTH BENEFIT PLAN	Physician Visit - Office: Well
phone(800) 634-4832	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	KEPRO	Hospital - Emergency Accident, Hospital - Emergency Medical, Emergency Services
phone(800) 676-2583	Eligibility / benefits, Other stated contextBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Active Coverage	BCBS IL BCBSTX BLUE CROSS OF MICHIGAN BLUE SHIELD OF CALIFORNIA CAPITAL BLUE CROSS CUSTOMER SERVICE	Chiropractic, Health Benefit Plan Coverage, Health Benefit Plan Coverage, Hospital, Hospital - Inpatient, Hospital - Emergency Accident, Urgent Care, Hospital - Emergency Medical, Emergency Services, Chiropractic, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Hospital - Outpatient, Hospital - Emergency Accident, Urgent Care, Hospital - Emergency Medical, Chiropractic, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Vision (Optometry), Hospital, Hospital - Inpatient, Hospital, Hospital - Inpatient, Physician Visit - Office: Well
phone(800) 854-7771	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	MEDI-CAL LA CARE BHA	Mental Health
phone(800) 868-1032	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	COMPANION BENEFIT ALTERNATIVES	Mental Health
phone(800) 877-7195	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	VSP VSP VISION CARE	Vision (Optometry)
phone(800) 972-8088	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CUSTOMER SERVICE	Hospital, Hospital - Inpatient
phone(800) 977-2273	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	MAGELLAN	Pharmacy
phone(844) 714-5678	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	EYEMED	Vision (Optometry)
phone(855) 271-6601	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CVS CAREMARK	Pharmacy
phone(855) 311-3162	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CVS CAREMARK	Pharmacy
phone(855) 559-7917	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CVS CAREMARK	Pharmacy
phone(855) 811-2218	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	OPTUMRX	Pharmacy
phone(866) 333-2757	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	NAVITUS	Pharmacy
phone(866) 343-3709	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	AMERICAN HEALTH	Hospital, Hospital - Inpatient
phone(866) 720-3857	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	OPTUM	Pharmacy
phone(866) 723-0514	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	EYEMED	Vision (Optometry)
phone(866) 797-9884	Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Insurance; Benefit context: Co-Payment	CARELONRX UTILIZATION MANAGEMENT	Chiropractic, Pharmacy
phone(866) 800-5457	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	EYEMED	Vision (Optometry)
phone(877) 643-2067	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	PHOENIX BENEFIT MANAGEMENT	Pharmacy
phone(877) 735-9314	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	EYEMED	Vision (Optometry)
phone(888) 265-7790	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CVS SPECIALTY RX	Professional (Physician) Visit - Office
phone(888) 334-0870	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	MEDI-CAL BHA	Mental Health
phone(888) 352-7924	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	LIBERTY DENTAL	Dental Care
phone(888) 581-3648	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	BLUE VIEW VISION	Vision (Optometry)
phone(888) 752-7229	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CAREMARK	Pharmacy
phone(888) 806-4969	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	EXPRESS SCRIPTS	Pharmacy
phone(310) 436-0202	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Professional (Physician) Visit - Office
phone(310) 675-5370	Utilization managementBenefit context: Co-Payment	UTILIZATION MANAGEMENT	Chiropractic
phone(310) 965-1100	Utilization managementBenefit context: Co-Payment	UTILIZATION MANAGEMENT	Chiropractic
phone(323) 725-8751	Utilization managementBenefit context: Co-Payment	UTILIZATION MANAGEMENT	Chiropractic
phone(323) 728-3955	Utilization managementBenefit context: Co-Payment	UTILIZATION MANAGEMENT	Chiropractic
phone(323) 755-9555	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Professional (Physician) Visit - Office
phone(530) 271-3200	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Professional (Physician) Visit - Office
phone(562) 346-2222	Utilization managementBenefit context: Co-Payment	UTILIZATION MANAGEMENT	Chiropractic
phone(661) 716-8850	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Professional (Physician) Visit - Office
phone(800) 274-7767	Other stated context, Utilization managementBenefit context: Co-Insurance; Benefit context: Co-Payment	ANTHEM BLUE CROSS OF CALIFORNIA UTILIZATION MANAGEMENT	Chiropractic, Hospital
phone(800) 403-4160	Utilization managementBenefit context: Co-Payment	UTILIZATION MANAGEMENT	Chiropractic
phone(800) 898-2020	Utilization managementBenefit context: Co-Payment	UTILIZATION MANAGEMENT	Chiropractic
phone(818) 466-7700	Utilization managementBenefit context: Co-Payment	UTILIZATION MANAGEMENT	Chiropractic
phone(818) 654-3400	Utilization managementBenefit context: Co-Payment	UTILIZATION MANAGEMENT	Chiropractic
phone(818) 702-0100	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Professional (Physician) Visit - Office
phone(818) 743-5700	Utilization managementBenefit context: Co-Payment	UTILIZATION MANAGEMENT	Chiropractic
phone(818) 838-4500	Utilization managementBenefit context: Co-Payment	UTILIZATION MANAGEMENT	Chiropractic
phone(818) 869-7269	Utilization managementBenefit context: Co-Payment	UTILIZATION MANAGEMENT	Chiropractic
phone(844) 889-2273	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Professional (Physician) Visit - Office
phone(855) 367-7747	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Professional (Physician) Visit - Office
phone(866) 773-2884	Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information	UTILIZATION MANAGEMENT
phone(909) 335-6462	Utilization managementBenefit context: Co-Payment	UTILIZATION MANAGEMENT	Chiropractic
phone(909) 558-8142	Utilization managementBenefit context: Limitations	UTILIZATION MANAGEMENT	Chiropractic
phone(909) 781-5460	Utilization managementBenefit context: Co-Payment	UTILIZATION MANAGEMENT	Chiropractic
phone(916) 228-4300	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Professional (Physician) Visit - Office
phone(916) 454-2345	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Professional (Physician) Visit - Office
phone(916) 681-1130	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Professional (Physician) Visit - Office
phone(916) 725-1177	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Professional (Physician) Visit - Office
phone(916) 734-9900	Utilization managementBenefit context: Limitations	UTILIZATION MANAGEMENT	Chiropractic
phone(949) 923-3200	Utilization managementBenefit context: Co-Payment	UTILIZATION MANAGEMENT	Chiropractic
phone(800) 322-8670	Other stated context, PharmacyBenefit context: Benefit Description; Benefit context: Services Restricted to Following Provider	BCBSAZ HEALTH CHOICE CVS/CAREMARK	Health Benefit Plan Coverage, Pharmacy
phone(800) 364-6331	PharmacyBenefit context: Services Restricted to Following Provider	CVS/CAREMARK	Pharmacy
phone(800) 924-7141	Other stated context, PharmacyBenefit context: Co-Insurance; Benefit context: Benefit Description	BLUECROSS AND BLUESHIELD OF TENNESSEE MAGELLANRX	Hospital - Outpatient, Pharmacy
phone(855) 305-3020	PharmacyBenefit context: Exclusions; Benefit context: Services Restricted to Following Provider	CVS CAREMARK	Pharmacy
phone(866) 325-1794	PharmacyBenefit context: Benefit Description	OPTUM RX	Pharmacy
phone(866) 688-2242	PharmacyBenefit context: Active Coverage	PRIME THERAPEUTICS	Pharmacy
phone(800) 245-1150	Behavioral healthBenefit context: Non-Covered	BHS	Mental Health
phone(855) 339-8558	Behavioral health, Other stated contextBenefit context: Active Coverage; Benefit context: Coverage Basis	LUCET	Mental Health
phone(866) 322-1657	Behavioral healthBenefit context: Active Coverage	BEHAVIORAL HEALTH MANAGER	Mental Health
phone(602) 864-4320	Other stated contextBenefit context: Benefit Description	BCBSAZ - BLUE CROSS BLUE SHIELD OF BLUE CROSS BLUE SHIELD OF AZ	Hospital - Inpatient, Professional (Physician) Visit - Office, Hospital, Hospital - Outpatient, Hospital, Hospital - Inpatient
phone(800) 232-2345	Other stated contextBenefit context: Benefit Description	BCBSAZ - BLUE CROSS BLUE SHIELD OF BLUE CROSS BLUE SHIELD OF AZ	Hospital - Inpatient, Professional (Physician) Visit - Office, Hospital, Hospital - Outpatient, Hospital, Hospital - Inpatient
phone(800) 275-2583	Other stated contextBenefit context: Co-Insurance	AUTHORIZATIONS	Hospital - Inpatient, Hospital, Physician Visit - Office: Well
phone(800) 351-2370	Other stated contextBenefit context: Co-Insurance	CLINICAL INTAKE OPERATIONS	Hospital
phone(800) 424-8270	Other stated contextBenefit context: Coverage Basis	PRIME THERAPEUTICS
phone(800) 452-8507	Other stated contextBenefit context: Active Coverage	HIGHMARK MEDICAL MANAGEMENT & POLICY	Hospital
phone(800) 541-6652	Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment	BLUE SHIELD OF CALIFORNIA	Hospital
phone(800) 572-2872	Other stated contextBenefit context: Active Coverage	BCBSDE MANAGED CARE	Hospital
phone(800) 605-2556	Other stated contextBenefit context: Co-Payment	BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN	Hospital
phone(800) 664-2583	Other stated contextBenefit context: Active Coverage	HORIZON BCBSNJ	Health Benefit Plan Coverage
phone(800) 678-9133	Other stated contextBenefit context: Benefit Description	ASH - AMERICAN SPECIALTY HEALTH NETWORK	Chiropractic
phone(800) 780-7881	Other stated contextBenefit context: Co-Insurance	CLINICAL INTAKE OPERATIONS	Hospital
phone(800) 786-7474	Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment	BLUE SHIELD OF CALIFORNIA	Hospital
phone(800) 827-4814	Other stated contextBenefit context: Limitations	SKAI BLUE CROSS AND BLUE SHIELD	Hospital - Inpatient
phone(800) 869-7093	Other stated contextBenefit context: Co-Insurance	HMA HEALTH SERVICES DEPARTMENT	Hospital, Hospital - Inpatient
phone(800) 920-2485	Other stated contextBenefit context: Active Coverage	EXCELLUS BLUE CROSS BLUE SHIELD	Health Benefit Plan Coverage
phone(800) 972-4226	Other stated contextBenefit context: Co-Payment; Benefit context: Benefit Description	AMERICAN SPECIALTY HEALTH ASH - AMERICAN SPECIALTY HEALTH NETWORK	Chiropractic
phone(800) 986-9156	Other stated contextBenefit context: Co-Insurance	FIRST CHOICE	Hospital - Inpatient
phone(833) 447-4397	Other stated contextBenefit context: Coverage Basis	REACH KIDNEY CARE
phone(833) 663-8703	Other stated contextBenefit context: Co-Insurance	CREDENCE BCBS	Hospital
phone(833) 800-4033	Other stated contextBenefit context: Coverage Basis	CREDENCE BCBS
phone(855) 333-5730	Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment	ANTHEM BLUE CROSS OF CALIFORNIA	Hospital, Hospital, Hospital - Inpatient
phone(855) 550-3733	Other stated contextBenefit context: Active Coverage	MEDICAL MANAGEMENT & POLICY	Hospital
phone(855) 798-2627	Other stated contextBenefit context: Other or Additional Payor	MEDICARE PART A ONLY
phone(855) 845-5440	Other stated contextBenefit context: Co-Insurance	LUMINARE HEALTH	Hospital, Hospital - Inpatient
phone(866) 205-5107	Other stated contextBenefit context: Coverage Basis	PA LOGIC SOLUTIONS
phone(866) 317-6106	Other stated contextBenefit context: Co-Insurance	QUANTUM HEALTH	Hospital, Hospital - Inpatient
phone(866) 803-8002	Other stated contextBenefit context: Coverage Basis	CARELON MEDICAL BENEFITS MANAGEMENT EVICORE HEALTHCARE
phone(866) 939-3633	Other stated contextBenefit context: Non-Covered	EYEMED	Vision (Optometry)
phone(877) 288-0719	Other stated contextBenefit context: Coverage Basis	HEALTH EQUITY
phone(877) 324-2990	Other stated contextBenefit context: Co-Insurance	QUANTUM HEALTH	Hospital
phone(888) 312-5713	Other stated contextBenefit context: Co-Payment	BLUE CROSS COMPLETE	Medical Care
phone(888) 849-3682	Other stated contextBenefit context: Co-Payment	CLINICAL INTAKE OPERATIONS	Hospital
phone(800) 214-4844		BLUE SHIELD OF CALIFORNIA
phone(800) 327-6716		BLUE SHIELD OF CALIFORNIA
phone(800) 727-2227		BLUE SHIELD OF CALIFORNIA
phone(844) 465-5227		SKAI BLUE CROSS BLUE SHIELD
phone(877) 444-2374		BLUE SHIELD OF CALIFORNIA
phone(888) 233-8351		BLUE SHIELD OF CALIFORNIA

Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.

Fax numbers13

Blue Shield of California fax numbers
Channel and number	Payer Notes	Department	Specialties
fax(866) 411-2573	Prior authorizationBenefit context: Co-Insurance	ACUTE INPATIENT REHABILITATION ADMISSION PRECERTIFICATION SKILLED NURSING FACILITY ADMISSION PRECERTIFICATION	Hospital
fax(866) 411-2585	Prior authorizationBenefit context: Co-Insurance	ACUTE INPATIENT HOSPITAL ADMISSION PRECERTIFICATION	Hospital
fax(410) 781-7661	Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information	UTILIZATION MANAGEMENT
fax(323) 889-2100	Other stated contextBenefit context: Co-Payment	BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN	Hospital
fax(800) 453-4341	Other stated contextBenefit context: Co-Insurance	CLINICAL INTAKE OPERATIONS	Hospital
fax(833) 453-0101	Other stated contextBenefit context: Coverage Basis	REACH KIDNEY CARE
fax(833) 938-9934	Other stated contextBenefit context: Co-Insurance	CREDENCE BCBS	Hospital
fax(844) 295-4637	Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment	BLUE SHIELD OF CALIFORNIA	Hospital
fax(844) 696-0975	Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment	BLUE SHIELD OF CALIFORNIA	Hospital
fax(866) 606-6021	Other stated contextBenefit context: Coverage Basis	PA LOGIC SOLUTIONS
fax(877) 663-7526	Other stated contextBenefit context: Co-Payment	CLINICAL INTAKE OPERATIONS	Hospital
fax(501) 379-1200		SKAI BLUE CROSS BLUE SHIELD
fax(888) 282-1321		BLUE SHIELD OF CALIFORNIA

Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.

Retired numbers5

These numbers played a not-in-service recording when called. Do not use them; call the replacement or the number on the member’s ID card.

(800) 331-2001Out of service
(800) 397-7337Not in service when called; re-check pending
(800) 424-6521Out of service
(855) 243-3326Not in service when called; re-check pending
(888) 350-3447Not in service when called; re-check pending

Member ID guidance

Read the prefix from the current card.

Do not infer a prefix from another member or an older card. Federal Employee Program IDs beginning with a single “R” follow a separate route.

Masked formats use L for a letter, N for a number, and ? for an unknown character. No member IDs are published.

Evidence

Source and verification

Prefix, home plan, and state: Substrate BlueCard mapping snapshot. Data last changed Sep 25, 2026; checked Nov 13, 2026. Check the current prefix with BCBS ↗
Terminal payer and payer ID: Linked to the directory’s terminal payer record, checked Nov 13, 2026. Open the payer routing sources →
Availability signals: Substrate’s reviewed route configuration and claim-status network, checked Nov 13, 2026.

Use the member’s current ID card and confirm the current payer or clearinghouse route before submission. Prefix associations and transaction support can change.

ESV

Blue Shield of California

Phone and fax contacts

Read the prefix from the current card.

Source and verification

Other Blue Shield of California prefixes