Blue Shield of California Promise Health Plan Payer ID C1SCA — EDI & Claim Status

Coverage profile

How Substrate can help you with Blue Shield of California Promise Health Plan

Substrate can help practices and billers with the following claims tasks for Blue Shield of California Promise Health Plan.

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Blue Shield of California Promise Health Plan.

Available

Frequently asked questions

Blue Shield of California Promise Health Plan payer FAQs

What is the payer ID for Blue Shield of California Promise Health Plan?

The primary payer ID for Blue Shield of California Promise Health Plan is C1SCA. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.

What are the 837 payer IDs for Blue Shield of California Promise Health Plan?

The 837P and 837I payer ID for Blue Shield of California Promise Health Plan is C1SCA via Stedi.

What is the 835 payer ID for Blue Shield of California Promise Health Plan?

The 835 payer ID for Blue Shield of California Promise Health Plan is C1SCA via Stedi.

What is the 270 payer ID for Blue Shield of California Promise Health Plan?

The 270 payer ID for Blue Shield of California Promise Health Plan is C1SCA via Stedi.

What state does Blue Shield of California Promise Health Plan operate in?

Blue Shield of California Promise Health Plan operates in CA.

Routing reference

Blue Shield of California Promise Health Plan 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.

Blue Shield of California Promise Health Plan payer name, operating states, and transaction-specific payer IDs
Payer name	Blue Shield of California Promise Health Plan
Operating states	CA
837P professional claims payer IDStedi	`C1SCA`
837I institutional claims payer IDStedi	`C1SCA`
835 ERA payer IDStedi	`C1SCA`Enrollment required
270 eligibility payer IDStedi	`C1SCA`

Payer contact directory

Blue Shield of California Promise Health Plan 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

Blue Shield of California Promise Health Plan payer phone and fax directory
Channel and number	Payer Notes	Department	Specialties
fax`(323) 889-2100`	Other stated contextBenefit context: Co-Payment	BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN	Hospital
fax`(833) 453-0101`	Other stated contextBenefit context: Coverage Basis	REACH KIDNEY CARE
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-Payment	BLUE SHIELD OF CALIFORNIA	Hospital
fax`(866) 713-6516`	Other stated contextBenefit context: Out of Pocket (Stop Loss)	BCBS OF ALABAMA	Hospital
fax`(888) 656-6671`	Other stated contextBenefit context: Coverage Basis	PRIME THERAPEUTICS
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) 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) 676-2583	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	BLUE SHIELD OF CALIFORNIA CUSTOMER SERVICE	Hospital, Hospital - Inpatient, Vision (Optometry)
phone(800) 854-7771	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	MEDI-CAL LA CARE BHA	Mental Health
phone(800) 877-7195	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	VSP	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(866) 797-9884	Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment	CARELONRX UTILIZATION MANAGEMENT	Chiropractic, Pharmacy
phone(888) 350-3447	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CARELONRX	Pharmacy
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(818) 637-2000	Utilization managementBenefit context: Co-Payment	UTILIZATION MANAGEMENT	Chiropractic
phone(818) 838-4500	Utilization managementBenefit context: Co-Payment	UTILIZATION MANAGEMENT	Chiropractic
phone(888) 831-2246	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Professional (Physician) Visit - Office
phone(855) 339-8558	Behavioral healthBenefit context: Active Coverage	LUCET	Mental Health
phone(602) 864-4320	Other stated contextBenefit context: Benefit Description	BLUE CROSS BLUE SHIELD OF AZ	Hospital - Inpatient, Professional (Physician) Visit - Office, Hospital, Hospital - Outpatient
phone(800) 232-2345	Other stated contextBenefit context: Benefit Description	BLUE CROSS BLUE SHIELD OF AZ	Hospital - Inpatient, Professional (Physician) Visit - Office, Hospital, Hospital - Outpatient
phone(800) 248-2342	Other stated contextBenefit context: Out of Pocket (Stop Loss)	BCBS OF ALABAMA	Hospital
phone(800) 424-8270	Other stated contextBenefit context: Coverage Basis	PRIME THERAPEUTICS
phone(800) 541-6652	Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment	BLUE SHIELD OF CALIFORNIA	Hospital
phone(800) 605-2556	Other stated contextBenefit context: Co-Payment	BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN	Hospital
phone(800) 786-7474	Other stated contextBenefit context: Co-Payment	BLUE SHIELD OF CALIFORNIA	Hospital
phone(833) 447-4397	Other stated contextBenefit context: Coverage Basis	REACH KIDNEY CARE
phone(855) 333-5730	Other stated contextBenefit context: Co-Insurance	ANTHEM BLUE CROSS OF CALIFORNIA	Hospital
phone(866) 803-8002	Other stated contextBenefit context: Coverage Basis	CARELON MEDICAL BENEFITS MANAGEMENT
phone(800) 214-4844		BLUE SHIELD OF CALIFORNIA

Phone and fax numbers sourced directly from the payer response

Other aliases

Also known as

C1SCA
Blue Shield California Promise Health Plan
California Physician’s Service
BS CALIFORNIA PROMISE HEALTH PLAN