Coverage profile
Work Blue Shield of California across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Blue Shield of California.
Available
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Blue Shield of California.
Available
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Blue Shield of California.
Available
Appeals agent
AI appeals workflowThe Substrate Appeals Agent can submit appeals for RFIs, medical record requests, downcoding reconsiderations, and more via the payer portal for Blue Shield of California.
Available
Other aliases
Also known as
- 10053
- 100935
- 1409
- 6569
- 8855
- 94036
- 940360524
- BS001
- BSCA1
- CABLS
- CABS
- SB542
- SB542MA
- Blue Shield of California - Medicare Advantage
- BS CALIFORNIA
- ANTHEM - CA
BlueCard home-plan routing
BCBS prefixes for Blue Shield of California
These 97 member ID prefixes resolve to Blue Shield of California as their terminal payer. Open a prefix to review its home plan, state, payer ID, and published routes.
Member ID prefixes
AMEBCBS prefixAPXBCBS prefixATQBCBS prefixBGJBCBS prefixBGQBCBS prefixBOJBCBS prefixBRYBCBS prefixCBCBCBS prefixCGBBCBS prefixCKYBCBS prefixDEOBCBS prefixDJNBCBS prefixDJWBCBS prefixEFFBCBS prefixEFHBCBS prefixEHMBCBS prefixEIYBCBS prefixENSBCBS prefixESVBCBS prefixESWBCBS prefixFCOBCBS prefixFDZBCBS prefixFMIBCBS prefixFOOBCBS prefixFPVBCBS prefixFVSBCBS prefixGBIBCBS prefixGLQBCBS prefixGLVBCBS prefixGPEBCBS prefixGWABCBS prefixHDZBCBS prefixHXIBCBS prefixHZQBCBS prefixI2ABCBS prefixIGFBCBS prefixIHWBCBS prefixIXBBCBS prefixJAZBCBS prefixJNLBCBS prefixKMABCBS prefixKRKBCBS prefixKTFBCBS prefixLIOBCBS prefixLJJBCBS prefixLOIBCBS prefixLTWBCBS prefixLTXBCBS prefixLXMBCBS prefixMDPBCBS prefixMIABCBS prefixMOSBCBS prefixMTIBCBS prefixNAPBCBS prefixNDQBCBS prefixNLPBCBS prefixNPOBCBS prefixNSHBCBS prefixNTXBCBS prefixNXTBCBS prefixOEJBCBS prefixOWLBCBS prefixPCVBCBS prefixPEPBCBS prefixPODBCBS prefixPOEBCBS prefixPOKBCBS prefixPOOBCBS prefixPOWBCBS prefixPOYBCBS prefixPUEBCBS prefixQNNBCBS prefixQUTBCBS prefixRASBCBS prefixRDTBCBS prefixRHFBCBS prefixRLYBCBS prefixRPQBCBS prefixSAJBCBS prefixSIVBCBS prefixSVOBCBS prefixTIXBCBS prefixTOOBCBS prefixUBOBCBS prefixUEFBCBS prefixVEFBCBS prefixVEUBCBS prefixWAOBCBS prefixWBBBCBS prefixXFUBCBS prefixYATBCBS prefixYGYBCBS prefixYMSBCBS prefixYOABCBS prefixZDBBCBS prefixZDKBCBS prefixZZIBCBS prefix
Frequently asked questions
Blue Shield of California payer FAQs
How do I check claim status with Blue Shield of California?
Providers check Blue Shield of California via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Blue Shield of California portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
What is the payer ID for Blue Shield of California?
The primary payer ID for Blue Shield of California is 100935. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What is the provider portal for Blue Shield of California?
The provider portal for Blue Shield of California is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Blue Shield of California?
The 837P and 837I payer ID for Blue Shield of California is 100935 via Stedi.
What is the 835 payer ID for Blue Shield of California?
The 835 payer ID for Blue Shield of California is 100935 via Stedi.
What is the 270 payer ID for Blue Shield of California?
The 270 payer IDs for Blue Shield of California are 100935 via Stedi and 100935 via Availity.
What is the 276 payer ID for Blue Shield of California?
The 276 payer IDs for Blue Shield of California are 100935 via Stedi and 100935 via Availity.
What states does Blue Shield of California operate in?
Blue Shield of California operates in AZ, CA, HI, ID, MT, NV, OR, SD, TX, UT, and WA.
Routing reference
Blue Shield of California payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Blue Shield of CaliforniaSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | AZ, CA, HI, ID, MT, NV, OR, SD, TX, UT, WASource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 100935Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 100935Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 100935Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 100935Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 100935Source: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 100935Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | 100935Source: Availity payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Blue Shield of California. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: BS CALIFORNIA. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Blue Shield of California. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Payer contact directory
Blue Shield of California phone and fax numbers
Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.
- Eligibility / benefits phone
- (800) 676-2583BLUE SHIELD OF CALIFORNIA
- Other stated context fax
(323) 889-2100BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
fax(866) 411-2573 | Prior authorizationBenefit context: Co-Insurance |
| Hospital |
fax(866) 411-2585 | Prior authorizationBenefit context: Co-Insurance |
| Hospital |
fax(410) 781-7661 | Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| |
fax(323) 889-2100 | Other stated contextBenefit context: Co-Payment |
| Hospital |
fax(800) 453-4341 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
fax(833) 453-0101 | Other stated contextBenefit context: Coverage Basis |
| |
fax(833) 938-9934 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
fax(844) 295-4637 | Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment |
| Hospital |
fax(844) 696-0975 | Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment |
| Hospital |
fax(866) 606-6021 | Other stated contextBenefit context: Coverage Basis |
| |
fax(877) 663-7526 | Other stated contextBenefit context: Co-Payment |
| Hospital |
fax(501) 379-1200 |
| ||
fax(888) 282-1321 |
| ||
| phone(800) 268-9012 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 322-6384 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 323-7268 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(800) 441-9188 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(800) 451-0287 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(800) 523-4702 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Physician Visit - Office: Well |
| phone(800) 634-4832 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| 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 |
| 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 |
| Mental Health |
| phone(800) 868-1032 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Mental Health |
| phone(800) 877-7195 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(800) 972-8088 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(800) 977-2273 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(844) 714-5678 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(855) 271-6601 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(855) 311-3162 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(855) 559-7917 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(855) 811-2218 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(866) 333-2757 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(866) 343-3709 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(866) 720-3857 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(866) 723-0514 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| 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 |
| Chiropractic, Pharmacy |
| phone(866) 800-5457 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(877) 643-2067 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(877) 735-9314 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(888) 265-7790 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Professional (Physician) Visit - Office |
| phone(888) 334-0870 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Mental Health |
| phone(888) 350-3447 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(888) 352-7924 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(888) 581-3648 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(888) 752-7229 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(888) 806-4969 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(310) 436-0202 | Utilization managementBenefit context: Co-Insurance |
| Professional (Physician) Visit - Office |
| phone(310) 675-5370 | Utilization managementBenefit context: Co-Payment |
| Chiropractic |
| phone(310) 965-1100 | Utilization managementBenefit context: Co-Payment |
| Chiropractic |
| phone(323) 725-8751 | Utilization managementBenefit context: Co-Payment |
| Chiropractic |
| phone(323) 728-3955 | Utilization managementBenefit context: Co-Payment |
| Chiropractic |
| phone(323) 755-9555 | Utilization managementBenefit context: Co-Insurance |
| Professional (Physician) Visit - Office |
| phone(530) 271-3200 | Utilization managementBenefit context: Co-Insurance |
| Professional (Physician) Visit - Office |
| phone(562) 346-2222 | Utilization managementBenefit context: Co-Payment |
| Chiropractic |
| phone(661) 716-8850 | Utilization managementBenefit context: Co-Insurance |
| Professional (Physician) Visit - Office |
| phone(800) 274-7767 | Other stated context, Utilization managementBenefit context: Co-Insurance; Benefit context: Co-Payment |
| Chiropractic, Hospital |
| phone(800) 403-4160 | Utilization managementBenefit context: Co-Payment |
| Chiropractic |
| phone(800) 898-2020 | Utilization managementBenefit context: Co-Payment |
| Chiropractic |
| phone(818) 466-7700 | Utilization managementBenefit context: Co-Payment |
| Chiropractic |
| phone(818) 654-3400 | Utilization managementBenefit context: Co-Payment |
| Chiropractic |
| phone(818) 702-0100 | Utilization managementBenefit context: Co-Insurance |
| Professional (Physician) Visit - Office |
| phone(818) 743-5700 | Utilization managementBenefit context: Co-Payment |
| Chiropractic |
| phone(818) 838-4500 | Utilization managementBenefit context: Co-Payment |
| Chiropractic |
| phone(818) 869-7269 | Utilization managementBenefit context: Co-Payment |
| Chiropractic |
| phone(844) 889-2273 | Utilization managementBenefit context: Co-Insurance |
| Professional (Physician) Visit - Office |
| phone(855) 367-7747 | Utilization managementBenefit context: Co-Insurance |
| Professional (Physician) Visit - Office |
| phone(866) 773-2884 | Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| |
| phone(909) 335-6462 | Utilization managementBenefit context: Co-Payment |
| Chiropractic |
| phone(909) 558-8142 | Utilization managementBenefit context: Limitations |
| Chiropractic |
| phone(909) 781-5460 | Utilization managementBenefit context: Co-Payment |
| Chiropractic |
| phone(916) 228-4300 | Utilization managementBenefit context: Co-Insurance |
| Professional (Physician) Visit - Office |
| phone(916) 454-2345 | Utilization managementBenefit context: Co-Insurance |
| Professional (Physician) Visit - Office |
| phone(916) 681-1130 | Utilization managementBenefit context: Co-Insurance |
| Professional (Physician) Visit - Office |
| phone(916) 725-1177 | Utilization managementBenefit context: Co-Insurance |
| Professional (Physician) Visit - Office |
| phone(916) 734-9900 | Utilization managementBenefit context: Limitations |
| Chiropractic |
| phone(949) 923-3200 | Utilization managementBenefit context: Co-Payment |
| Chiropractic |
| phone(800) 322-8670 | Other stated context, PharmacyBenefit context: Benefit Description; Benefit context: Services Restricted to Following Provider |
| Health Benefit Plan Coverage, Pharmacy |
| phone(800) 364-6331 | PharmacyBenefit context: Services Restricted to Following Provider |
| Pharmacy |
| phone(800) 924-7141 | Other stated context, PharmacyBenefit context: Co-Insurance; Benefit context: Benefit Description |
| Hospital - Outpatient, Pharmacy |
| phone(855) 305-3020 | PharmacyBenefit context: Exclusions; Benefit context: Services Restricted to Following Provider |
| Pharmacy |
| phone(866) 325-1794 | PharmacyBenefit context: Benefit Description |
| Pharmacy |
| phone(866) 688-2242 | PharmacyBenefit context: Active Coverage |
| Pharmacy |
| phone(800) 245-1150 | Behavioral healthBenefit context: Non-Covered |
| Mental Health |
| phone(855) 339-8558 | Behavioral health, Other stated contextBenefit context: Active Coverage; Benefit context: Coverage Basis |
| Mental Health |
| phone(866) 322-1657 | Behavioral healthBenefit context: Active Coverage |
| Mental Health |
| phone(602) 864-4320 | Other stated contextBenefit context: Benefit Description |
| Hospital - Inpatient, Professional (Physician) Visit - Office, Hospital, Hospital - Outpatient, Hospital, Hospital - Inpatient |
| phone(800) 232-2345 | Other stated contextBenefit context: Benefit Description |
| Hospital - Inpatient, Professional (Physician) Visit - Office, Hospital, Hospital - Outpatient, Hospital, Hospital - Inpatient |
| phone(800) 275-2583 | Other stated contextBenefit context: Co-Insurance |
| Hospital - Inpatient, Hospital, Physician Visit - Office: Well |
| phone(800) 351-2370 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(800) 397-7337 | Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment |
| Hospital - Inpatient, Hospital - Outpatient |
| phone(800) 424-8270 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(800) 452-8507 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(800) 541-6652 | Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment |
| Hospital |
| phone(800) 572-2872 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(800) 605-2556 | Other stated contextBenefit context: Co-Payment |
| Hospital |
| phone(800) 664-2583 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(800) 678-9133 | Other stated contextBenefit context: Benefit Description |
| Chiropractic |
| phone(800) 780-7881 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(800) 786-7474 | Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment |
| Hospital |
| phone(800) 827-4814 | Other stated contextBenefit context: Limitations |
| Hospital - Inpatient |
| phone(800) 869-7093 | Other stated contextBenefit context: Co-Insurance |
| Hospital, Hospital - Inpatient |
| phone(800) 920-2485 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(800) 972-4226 | Other stated contextBenefit context: Co-Payment; Benefit context: Benefit Description |
| Chiropractic |
| phone(800) 986-9156 | Other stated contextBenefit context: Co-Insurance |
| Hospital - Inpatient |
| phone(833) 447-4397 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(833) 663-8703 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(833) 800-4033 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(855) 243-3326 | Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment |
| Hospital - Inpatient |
| phone(855) 333-5730 | Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment |
| Hospital, Hospital, Hospital - Inpatient |
| phone(855) 550-3733 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(855) 798-2627 | Other stated contextBenefit context: Other or Additional Payor |
| |
| phone(855) 845-5440 | Other stated contextBenefit context: Co-Insurance |
| Hospital, Hospital - Inpatient |
| phone(866) 205-5107 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(866) 317-6106 | Other stated contextBenefit context: Co-Insurance |
| Hospital, Hospital - Inpatient |
| phone(866) 803-8002 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(866) 939-3633 | Other stated contextBenefit context: Non-Covered |
| Vision (Optometry) |
| phone(877) 288-0719 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(877) 324-2990 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(888) 312-5713 | Other stated contextBenefit context: Co-Payment |
| Medical Care |
| phone(888) 849-3682 | Other stated contextBenefit context: Co-Payment |
| Hospital |
| phone(800) 214-4844 |
| ||
| phone(800) 327-6716 |
| ||
| phone(800) 727-2227 |
| ||
| phone(844) 465-5227 |
| ||
| phone(877) 444-2374 |
| ||
| phone(888) 233-8351 |
|
Phone and fax numbers sourced directly from the payer response