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 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Blue Shield of California Promise Health Plan.
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.
| Payer name | Blue Shield of California Promise Health PlanSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | CASource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | C1SCASource: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | C1SCASource: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | C1SCAEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | C1SCASource: Stedi 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 Promise Health Plan. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi 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 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
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
fax(323) 889-2100 | Other stated contextBenefit context: Co-Payment |
| Hospital |
fax(833) 453-0101 | Other stated contextBenefit context: Coverage Basis |
| |
fax(844) 295-4637 | Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment |
| Hospital |
fax(844) 696-0975 | Other stated contextBenefit context: Co-Payment |
| Hospital |
fax(866) 713-6516 | Other stated contextBenefit context: Out of Pocket (Stop Loss) |
| Hospital |
fax(888) 656-6671 | Other stated contextBenefit context: Coverage Basis |
| |
| 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) 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) 676-2583 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient, Vision (Optometry) |
| phone(800) 854-7771 | 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(866) 797-9884 | Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment |
| Chiropractic, Pharmacy |
| phone(888) 350-3447 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| 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(818) 637-2000 | Utilization managementBenefit context: Co-Payment |
| Chiropractic |
| phone(818) 838-4500 | Utilization managementBenefit context: Co-Payment |
| Chiropractic |
| phone(888) 831-2246 | Utilization managementBenefit context: Co-Insurance |
| Professional (Physician) Visit - Office |
| phone(855) 339-8558 | 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 |
| phone(800) 232-2345 | Other stated contextBenefit context: Benefit Description |
| Hospital - Inpatient, Professional (Physician) Visit - Office, Hospital, Hospital - Outpatient |
| phone(800) 248-2342 | Other stated contextBenefit context: Out of Pocket (Stop Loss) |
| Hospital |
| phone(800) 424-8270 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(800) 541-6652 | Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment |
| Hospital |
| phone(800) 605-2556 | Other stated contextBenefit context: Co-Payment |
| Hospital |
| phone(800) 786-7474 | Other stated contextBenefit context: Co-Payment |
| Hospital |
| phone(833) 447-4397 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(855) 333-5730 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(866) 803-8002 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(800) 214-4844 |
|
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
