Blue cross blue shield of california claims address

Table of Contents Show

Racial and Ethnic Disparities in Maternal Health
Customer Care Centers
Customer Care Center for Medi-Cal Managed Care (Medi-Cal)
Customer Care Center for Major Risk Medical Insurance Program (MRMIP)
Customer Care Center for Anthem Blue Cross Cal MediConnect Plan (Medicare-Medicaid Plan)
Receive email from Anthem Blue Cross (Anthem)
Interpreter Services
Interpreter services for Medi-Cal
Interpreter services for MRMIP
Email a Provider Experience associate
Utilization Management (UM)
UM department for Medi-Cal
UM department for MRMIP
Pharmacy Prior Authorization Center for Medi-Cal and MRMIP
Pharmacy Prior Authorization Center for Anthem Blue Cross Cal MediConnect Plan
Case Management
Case Management department for Medi-Cal
Case management for Anthem Blue Cross Cal MediConnect Plan
Community-Based Adult Services (CBAS) and Long-Term Services and Support (LTSS)
CBAS and LTSS Department for Medi-Cal and MRMIP
Provider tools & resources
Interested in becoming a provider in the Anthem network?
How do I submit a claim to Blue Shield CA?
How do I file a claim with Blue Cross Blue Shield of Illinois?
How do I cancel my Blue Shield insurance in California?

Racial and Ethnic Disparities in Maternal Health

Pregnancy and childbirth complications in the United States have increased among all women by about 9% between 2018-2020. Black, Latina and Asian women all continue to fare worse than White women when it comes to the likelihood of complications.

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COVID-19 Updates

We’re committed to supporting our members, communities and healthcare workers in the wake of the novel coronavirus outbreak

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BCBS Progress Health

The latest issue analysis, commentary and authoritative insight on health care from the Blue Cross Blue Shield Association

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The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies.

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:

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.

How do I submit a claim to Blue Shield CA?

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.

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

Claims may be submitted one-at-a-time by entering information directly into an online claim form on the vendor portal; or batch claims may be submitted via your Practice Management System (check with your software vendor to ensure compatibility).

How do I cancel my Blue Shield insurance in California?

You must call Customer Service, (855) 836-9705, to have them cancel your current medical plan because, legally, Blue Shield cannot cancel your plan without your authorization.