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Provider Connection Claims | Blue Shield of CA Provider

<!DOCTYPE HTML> <html lang="en" data-dir="ltr"> <head> <meta charset="UTF-8"/> <title>Provider Connection Claims | Blue Shield of CA Provider</title> <link href="/content/dam/bsca/en/bsc-brand/favicon/favicon.png" rel="shortcut icon" type="image/x-icon"/> <meta name="description" content="Learn how to submit claims electronically, search our Claims Fee Schedule for Blue Shield allowances, find resources on provider appeals and adjustments, and learn more about submitting claims, rules for payment and claim status."/> <meta name="keywords" content=""/> <meta name="author" content="Blue Shield CA"/> <meta property="twitter:site" content="@BlueShieldCA"/> <meta property="twitter:creator" content="@BlueShieldCA"/> <meta property="twitter:title" content="Provider Connection Claims | Blue Shield of CA Provider"/> <meta property="og:image" content="/content/dam/bsca/en/bsc-brand/logos/twitter/pazMGY.png"/> <meta property="twitter:card" content="/content/dam/bsca/en/bsc-brand/logos/twitter/pazMGY.png"/> <meta property="twitter:description" content="Learn how to submit claims electronically, search our Claims Fee Schedule for Blue Shield allowances, find resources on provider appeals and adjustments, and learn more about submitting claims, rules for payment and claim status."/> <meta property="og:type" content="Website"/> <meta property="og:site_name" content="BlueShieldCA"/> <meta property="og:title" content="Provider Connection Claims | Blue Shield of CA Provider"/> <meta property="og:description" content="Learn how to submit claims electronically, search our Claims Fee Schedule for Blue Shield allowances, find resources on provider appeals and adjustments, and learn more about submitting claims, rules for payment and claim status."/> <meta property="og:url" content="https://www.blueshieldca.com/en/provider/claims"/> <meta name="template" content="base-page"/> <meta name="viewport" content="width=device-width, initial-scale=1"/> <link rel="canonical" href="https://www.blueshieldca.com/en/provider/claims"/> <link rel="stylesheet" href="/etc.clientlibs/bsca/clientlibs/clientlib-base.lc-1740456668279-lc.min.css" type="text/css"> <script src="/etc.clientlibs/clientlibs/granite/jquery.lc-1740456668279-lc.min.js"></script> <script src="/etc.clientlibs/clientlibs/granite/utils.lc-1740456668279-lc.min.js"></script> <input type="hidden" id="dl-page-name" value="Claims"/> <input type="hidden" id="dl-gen-site-section" value="Provider"/> <input type="hidden" id="dl-site-section" value="Provider : Claims"/> <input type="hidden" id="dl-sub-section" value="Provider : Claims"/> <script> window.dataLayer = window.dataLayer || []; window.dataLayer.push({ devEnvironment: window.location.hostname, 'page': { 'attributes': { 'language': document.getElementsByTagName('html')[0].getAttribute('lang'), 'responsiveDesignBreakpoint': screen.availWidth + ' X ' + screen.availHeight, 'screenOrientation': window.innerHeight > window.innerWidth ? 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onHorizontalListClick(e){ if(e.srcElement.hash) { var target = e.srcElement.hash.substring(1); var targetElement = document.getElementById(target); targetElement.href = "#"; targetElement.focus(); console.log("Focus", target, targetElement, document.activeElement); } } </script> </div> </div> </li> </ul> </nav> </div> <div class="cmp-header__parent"> <div class="trans">&nbsp;</div> <header class="cmp-header" data-component="header"> <div class="container responsivegrid cmp-container__fixed"> <div id="container-97c410ebe3" class="cmp-container"> <div class="header-logo__parent"> <div class="cmp-header--logo"> <div> <div class="image"> <div class="cmp-image"> <a href="/en/provider" data-auth-href="/providerwebapp/connect/home"> <img src="/content/dam/bsca/en/shared/logos/Blue-Shield-California-logo.svg" loading="lazy" class="cmp-image__image primarylogo" itemprop="contentUrl" alt="Blue Shield of California, homepage" title="Blue Shield of California, homepage"/> </a> <meta 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class="cmp-navigation__item-link" data-href="javascript:void(0)" href="javascript:void(0)"> Eligibility &amp; benefits <span class="chevron-icon"></span> </a> <div class="content"> <ul class="single-column"> <li> <div class="heading "> <h4>Eligibility &amp; benefits </h4> <div class="heading_bdr">&nbsp;</div> </div> <ul> <li data-title="Eligibility &amp; benefits overview"> <a data-cmp-clickable="true" class="cmp-navigation__item-link button arrowleft" data-href="/content/bsca/language-masters/en/provider/eligibility-benefits.html" href="/en/provider/eligibility-benefits" gtm-track-click="{ 'eventCategory': 'Navigation', 'eventAction': 'Eligibility &amp; benefits', 'eventLabel': 'Secondary: Eligibility &amp; benefits', 'eventNonInteracton': 'false', 'event': 'eventTracker'}"> Eligibility &amp; benefits overview </a> </li> <li data-title="Verify eligibility"> <a data-cmp-clickable="true" class="cmp-navigation__item-link button arrowleft" data-href="/providerwebapp/verifyEligibility/singleSearch.html" href="/providerwebapp/verifyEligibility/singleSearch" gtm-track-click="{ 'eventCategory': 'Navigation', 'eventAction': 'Eligibility &amp; benefits', 'eventLabel': 'Secondary: Eligibility &amp; benefits', 'eventNonInteracton': 'false', 'event': 'eventTracker'}"> Verify eligibility </a> </li> </ul> </li> <li> <ul> <li data-title="Member rosters"> <a data-cmp-clickable="true" class="cmp-navigation__item-link button arrowleft" data-href="/providerwebapp/memberRosters.html" href="/providerwebapp/memberRosters" gtm-track-click="{ 'eventCategory': 'Navigation', 'eventAction': 'Eligibility &amp; benefits', 'eventLabel': 'Secondary: ', 'eventNonInteracton': 'false', 'event': 'eventTracker'}"> Member rosters </a> </li> <li data-title="Benefit summaries"> <a data-cmp-clickable="true" class="cmp-navigation__item-link button arrowleft" data-href="/content/bsca/language-masters/en/provider/eligibility-benefits#benefitsum" 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data-href="javascript:void(0)" href="javascript:void(0)"> Authorizations <span class="chevron-icon"></span> </a> <div class="content"> <ul class="single-column"> <li> <div class="heading "> <h4>Authorizations </h4> <div class="heading_bdr">&nbsp;</div> </div> <ul> <li data-title="Authorizations overview"> <a data-cmp-clickable="true" class="cmp-navigation__item-link button arrowleft" data-href="/content/bsca/language-masters/en/provider/authorizations.html" href="/en/provider/authorizations" gtm-track-click="{ 'eventCategory': 'Navigation', 'eventAction': 'Authorizations', 'eventLabel': 'Secondary: Authorizations', 'eventNonInteracton': 'false', 'event': 'eventTracker'}"> Authorizations overview </a> </li> <li data-title="Medical authorization"> <a data-cmp-clickable="true" class="cmp-navigation__item-link button arrowleft" data-href="/providerwebapp/authorization/medicalAuthorization.html" href="/providerwebapp/authorization/medicalAuthorization" gtm-track-click="{ 'eventCategory': 'Navigation', 'eventAction': 'Authorizations', 'eventLabel': 'Secondary: Authorizations', 'eventNonInteracton': 'false', 'event': 'eventTracker'}"> Medical authorization </a> </li> <li data-title="Medical authorization status"> <a data-cmp-clickable="true" class="cmp-navigation__item-link button arrowleft" data-href="/providerwebapp/authorization/medicalRequestStatus.html" href="/providerwebapp/authorization/medicalRequestStatus" gtm-track-click="{ 'eventCategory': 'Navigation', 'eventAction': 'Authorizations', 'eventLabel': 'Secondary: Authorizations', 'eventNonInteracton': 'false', 'event': 'eventTracker'}"> Medical authorization status </a> </li> <li data-title="Pharmacy authorization"> <a data-cmp-clickable="true" class="cmp-navigation__item-link button arrowleft" data-href="/providerwebapp/authorization/pharmacyAuthorization.html" href="/providerwebapp/authorization/pharmacyAuthorization" gtm-track-click="{ 'eventCategory': 'Navigation', 'eventAction': 'Authorizations', 'eventLabel': 'Secondary: Authorizations', 'eventNonInteracton': 'false', 'event': 'eventTracker'}"> Pharmacy authorization </a> </li> </ul> </li> <li> <ul> <li data-title="Pharmacy authorization status"> <a data-cmp-clickable="true" class="cmp-navigation__item-link button arrowleft" data-href="/providerwebapp/authorization/pharmacyRequestStatus.html" href="/providerwebapp/authorization/pharmacyRequestStatus" gtm-track-click="{ 'eventCategory': 'Navigation', 'eventAction': 'Authorizations', 'eventLabel': 'Secondary: ', 'eventNonInteracton': 'false', 'event': 'eventTracker'}"> Pharmacy authorization status </a> </li> <li data-title="Out-of-area Blue plan members"> <a data-cmp-clickable="true" class="cmp-navigation__item-link button arrowleft" data-href="/content/bsca/language-masters/en/provider/authorizations#otherblue" href="/en/provider/authorizations#otherblue" gtm-track-click="{ 'eventCategory': 'Navigation', 'eventAction': 'Authorizations', 'eventLabel': 'Secondary: ', 'eventNonInteracton': 'false', 'event': 'eventTracker'}"> Out-of-area Blue plan members </a> </li> <li data-title="Policies &amp; guidelines"> <a data-cmp-clickable="true" class="cmp-navigation__item-link button arrowleft" data-href="/content/bsca/language-masters/en/provider/authorizations#policies" href="/en/provider/authorizations#policies" gtm-track-click="{ 'eventCategory': 'Navigation', 'eventAction': 'Authorizations', 'eventLabel': 'Secondary: ', 'eventNonInteracton': 'false', 'event': 'eventTracker'}"> Policies &amp; guidelines </a> </li> <li data-title="Authorization forms &amp; list"> <a data-cmp-clickable="true" class="cmp-navigation__item-link button arrowleft" data-href="/content/bsca/language-masters/en/provider/authorizations#forms" href="/en/provider/authorizations#forms" gtm-track-click="{ 'eventCategory': 'Navigation', 'eventAction': 'Authorizations', 'eventLabel': 'Secondary: ', 'eventNonInteracton': 'false', 'event': 'eventTracker'}"> Authorization forms &amp; list </a> </li> <li data-title="Authorization log upload"> <a data-cmp-clickable="true" class="cmp-navigation__item-link button arrowleft" data-href="/providerwebapp/authorization/IPAFileUpload.html" href="/providerwebapp/authorization/IPAFileUpload" gtm-track-click="{ 'eventCategory': 'Navigation', 'eventAction': 'Authorizations', 'eventLabel': 'Secondary: ', 'eventNonInteracton': 'false', 'event': 'eventTracker'}"> Authorization log upload </a> </li> </ul> </li> <li> <div class="heading "> <h4> </h4> </div> </li> </ul> </div> </li> <li class="cmp-navigation__item cmp-navigation__item--level-0" data-title="Claims"> <a data-cmp-clickable="false" class="cmp-navigation__item-link" data-href="javascript:void(0)" href="javascript:void(0)"> Claims <span class="chevron-icon"></span> </a> <div class="content"> <ul class="single-column"> <li> <div class="heading "> <h4>Claims </h4> <div class="heading_bdr">&nbsp;</div> </div> <ul> <li data-title="Claims overview"> <a data-cmp-clickable="true" class="cmp-navigation__item-link button arrowleft" data-href="/content/bsca/language-masters/en/provider/claims.html" href="/en/provider/claims" gtm-track-click="{ 'eventCategory': 'Navigation', 'eventAction': 'Claims', 'eventLabel': 'Secondary: Claims', 'eventNonInteracton': 'false', 'event': 'eventTracker'}"> Claims overview </a> </li> <li data-title="How to submit claims"> <a data-cmp-clickable="true" class="cmp-navigation__item-link button arrowleft" data-href="/content/bsca/language-masters/en/provider/claims/how-to-submit.html" href="/en/provider/claims/how-to-submit" gtm-track-click="{ 'eventCategory': 'Navigation', 'eventAction': 'Claims', 'eventLabel': 'Secondary: Claims', 'eventNonInteracton': 'false', 'event': 'eventTracker'}"> How to submit claims </a> </li> <li data-title="Claims routing tool"> <a data-cmp-clickable="true" class="cmp-navigation__item-link button arrowleft" data-href="/providerwebapp/connect/claims/claimsRoutingTool.html" href="/providerwebapp/connect/claims/claimsRoutingTool" gtm-track-click="{ 'eventCategory': 'Navigation', 'eventAction': 'Claims', 'eventLabel': 'Secondary: Claims', 'eventNonInteracton': 'false', 'event': 'eventTracker'}"> Claims routing tool </a> </li> <li data-title="Check claims status"> <a data-cmp-clickable="true" class="cmp-navigation__item-link button arrowleft" data-href="/providerwebapp/claims/claimStatus.html" href="/providerwebapp/claims/claimStatus" gtm-track-click="{ 'eventCategory': 'Navigation', 'eventAction': 'Claims', 'eventLabel': 'Secondary: Claims', 'eventNonInteracton': 'false', 'event': 'eventTracker'}"> Check claims status </a> </li> </ul> </li> <li> <ul> <li data-title="Real-time claims"> <a data-cmp-clickable="true" class="cmp-navigation__item-link button arrowleft" data-href="/providerwebapp/claims/realTimeClaims.html" href="/providerwebapp/claims/realTimeClaims" gtm-track-click="{ 'eventCategory': 'Navigation', 'eventAction': 'Claims', 'eventLabel': 'Secondary: ', 'eventNonInteracton': 'false', 'event': 'eventTracker'}"> Real-time claims </a> </li> <li data-title="Manage electronic transactions"> <a data-cmp-clickable="true" class="cmp-navigation__item-link button arrowleft" data-href="/content/bsca/language-masters/en/provider/claims/electronic-transactions.html" href="/en/provider/claims/electronic-transactions" gtm-track-click="{ 'eventCategory': 'Navigation', 'eventAction': 'Claims', 'eventLabel': 'Secondary: ', 'eventNonInteracton': 'false', 'event': 'eventTracker'}"> Manage electronic transactions </a> </li> <li data-title="Fee schedule"> <a data-cmp-clickable="true" class="cmp-navigation__item-link button arrowleft" data-href="/content/bsca/language-masters/en/provider/claims#profee" href="/en/provider/claims#profee" gtm-track-click="{ 'eventCategory': 'Navigation', 'eventAction': 'Claims', 'eventLabel': 'Secondary: ', 'eventNonInteracton': 'false', 'event': 'eventTracker'}"> Fee schedule </a> </li> <li data-title="Claims issues &amp; disputes"> <a data-cmp-clickable="true" class="cmp-navigation__item-link button arrowleft" data-href="/content/bsca/language-masters/en/provider/claims/disputes.html" href="/en/provider/claims/disputes" gtm-track-click="{ 'eventCategory': 'Navigation', 'eventAction': 'Claims', 'eventLabel': 'Secondary: ', 'eventNonInteracton': 'false', 'event': 'eventTracker'}"> Claims issues &amp; disputes </a> </li> <li data-title="Policies &amp; guidelines"> <a data-cmp-clickable="true" class="cmp-navigation__item-link button arrowleft" data-href="/content/bsca/language-masters/en/provider/claims#policies" href="/en/provider/claims#policies" gtm-track-click="{ 'eventCategory': 'Navigation', 'eventAction': 'Claims', 'eventLabel': 'Secondary: ', 'eventNonInteracton': 'false', 'event': 'eventTracker'}"> Policies &amp; guidelines </a> </li> </ul> </li> <li> <div class="heading "> <h4> </h4> </div> </li> </ul> </div> </li> <li class="cmp-navigation__item cmp-navigation__item--level-0" data-title="Guidelines &amp; resources"> <a data-cmp-clickable="false" class="cmp-navigation__item-link" data-href="javascript:void(0)" href="javascript:void(0)"> Guidelines &amp; resources <span class="chevron-icon"></span> </a> <div class="content"> <ul class="single-column"> <li> <div class="heading "> <h4>Guidelines &amp; resources </h4> <div class="heading_bdr">&nbsp;</div> </div> <ul> <li data-title="Guidelines &amp; resources overview"> <a data-cmp-clickable="true" class="cmp-navigation__item-link button arrowleft" data-href="/content/bsca/language-masters/en/provider/guidelines-resources.html" href="/en/provider/guidelines-resources" gtm-track-click="{ 'eventCategory': 'Navigation', 'eventAction': 'Guidelines &amp; resources', 'eventLabel': 'Secondary: Guidelines &amp; resources', 'eventNonInteracton': 'false', 'event': 'eventTracker'}"> Guidelines &amp; resources overview </a> </li> <li data-title="Forms"> <a data-cmp-clickable="true" class="cmp-navigation__item-link button arrowleft" data-href="/content/bsca/language-masters/en/provider/guidelines-resources#forms" href="/en/provider/guidelines-resources#forms" gtm-track-click="{ 'eventCategory': 'Navigation', 'eventAction': 'Guidelines &amp; resources', 'eventLabel': 'Secondary: Guidelines &amp; resources', 'eventNonInteracton': 'false', 'event': 'eventTracker'}"> Forms </a> </li> <li data-title="Drugs &amp; pharmacy resources"> <a data-cmp-clickable="true" class="cmp-navigation__item-link button arrowleft" data-href="/content/bsca/language-masters/en/provider/guidelines-resources#drugs" href="/en/provider/guidelines-resources#drugs" gtm-track-click="{ 'eventCategory': 'Navigation', 'eventAction': 'Guidelines &amp; resources', 'eventLabel': 'Secondary: Guidelines &amp; resources', 'eventNonInteracton': 'false', 'event': 'eventTracker'}"> Drugs &amp; pharmacy resources </a> </li> </ul> </li> <li> <ul> <li data-title="Guidelines &amp; standards"> <a data-cmp-clickable="true" 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class="cmp-breadcrumb__list" itemscope itemtype="http://schema.org/BreadcrumbList"> <li class="cmp-breadcrumb__item" itemprop="itemListElement" itemscope itemtype="http://schema.org/ListItem"> <a class="cmp-breadcrumb__item-link" itemprop="item" gtm-track-click="{'eventCategory': 'Provider', 'eventAction': '/content/bsca/language-masters/en/provider.html', 'eventLabel': 'Home', 'eventNonInteracton': 'false', 'event': 'eventTracker'}" href="/en/provider"> <span itemprop="name">Home</span> </a> <meta itemprop="position" content="1"/> </li> <li class="cmp-breadcrumb__item cmp-breadcrumb__item--active" aria-current="page" itemprop="itemListElement" itemscope itemtype="http://schema.org/ListItem"> <span itemprop="name">Claims</span> <meta itemprop="position" content="2"/> </li> </ol> </nav> <nav id="breadcrumb-92000c47f9-2" class="cmp-breadcrumb cmp-breadcrumb__mobile" aria-label="Breadcrumb"> <ol class="cmp-breadcrumb__list" itemscope itemtype="http://schema.org/BreadcrumbList"> <!-- navItemList contains middle,last,even,count,index,first,odd --> <!-- navItemList contains middle,last,even,count,index,first,odd --> </ol> </nav> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__16"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> <div class="title text-center aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--12 aem-GridColumn--offset--default--0"> <div id="title-3a266ff6fc" class="cmp-title"> <h1 class="cmp-text__H1">Claims</h1> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__16"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> <div class="text aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--7 aem-GridColumn--offset--default--2"> <div id="text-d5958c717a" class="rte-content cmp-text "> <p><span class="cmp-text__bodytext">Learn how to submit claims electronically, search our Claims Fee Schedule for Blue Shield allowances, find resources on provider appeals and adjustments, and learn more about submitting claims, rules for payment and claim status.</span></p> </div> <script async defer src="/etc.clientlibs/bsca/components/common/text/clientlibs.lc-1740456668279-lc.min.js"></script> </div> <div class="text aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--8 aem-GridColumn--offset--default--2"> <div id="text-5d4f176c05" class="rte-content cmp-text "> <p><span class="cmp-text__bodytext"><a href="#tools">Claim tools</a>&nbsp;&nbsp;|&nbsp;&nbsp;<a href="#edi">Manage electronic transactions</a>&nbsp;&nbsp;|&nbsp;&nbsp;<a href="#profee">Facility and professional fee schedules</a>&nbsp;&nbsp;|&nbsp;&nbsp;<a href="#disputes">Claim issues and disputes</a>&nbsp;&nbsp;|&nbsp;&nbsp;<a href="#policies">Policies and guidelines</a>&nbsp; |&nbsp;&nbsp;<a href="#resources">Additional resources</a></span></p> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__16"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> <div class="text aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--7 aem-GridColumn--offset--default--2"> <div id="text-edefad50e6" class="rte-content cmp-text "> <h2><a id="tools"></a>&nbsp;</h2> <h2>Claim tools</h2> <p><span class="cmp-text__bodytext">Access our tools to check claims status and submit claims, and find mailing addresses, payment policies, fees and more.</span></p> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__24"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__16"></div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-a197b001f3" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--2 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0 aem-GridColumn--default--1"> <div id="container-ff1fa857ac" class="cmp-container"> <div class="image image-center"> <div data-cmp-is="image" data-cmp-lazythreshold="0" data-cmp-src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Circle-Info_blue?ts=1716162938106&amp;dpr=off" data-cmp-dmimage data-asset="/content/dam/bsca/en/shared/icons/48px/48px_Circle-Info_blue.svg" id="image-43d1223875" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Circle-Info_blue?ts=1716162938106&dpr=off" class="cmp-image__image" itemprop="contentUrl" data-cmp-hook-image="image" data-aem-asset-id="be1dc5d5-84a8-4fa9-a6c0-83cdb2843aae" data-trackable="true" alt/> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--9 aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div id="container-b7f7f0f570" class="cmp-container"> <div class="text"> <div id="text-558d9ebf90" class="rte-content cmp-text "> <h3><a href="/en/provider/claims/how-to-submit" target="_blank" title="How to submit claims">How to submit claims</a></h3> <p><span class="cmp-text__bodytext">Learn how to submit claims to Blue Shield electronically.<br> <img src="/content/dam/bsca/en/provider/images/pdf.svg" alt="">&nbsp;<a href="/content/dam/bsca/en/provider/documents/2024/claims/PRV_Taxonomy_Codes.pdf" title="Clean claims submission tips" target="_blank">Clean claims submission tips</a>&nbsp;(PDF, 24 KB)</span></p> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__8"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-fa142a7413" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--2 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0 aem-GridColumn--default--1"> <div id="container-87c94c5090" class="cmp-container"> <div class="image image-center"> <div data-cmp-is="image" data-cmp-lazythreshold="0" data-cmp-src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Clilpboard_blue?ts=1716171959540&amp;dpr=off" data-cmp-dmimage data-asset="/content/dam/bsca/en/shared/icons/48px/48px_Clilpboard_blue.svg" id="image-9d3f91d108" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Clilpboard_blue?ts=1716171959540&dpr=off" class="cmp-image__image" itemprop="contentUrl" data-cmp-hook-image="image" data-aem-asset-id="52a9cb50-4da2-4d51-92b1-54c811d5e1d5" data-trackable="true" alt/> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--9 aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div id="container-ba9723b403" class="cmp-container"> <div class="text"> <div id="text-0ad0ca8235" class="rte-content cmp-text "> <h3><a href="https://www.blueshieldca.com/providerwebapp/#/claims/claimStatus" target="_blank" title="Check claim status">Check claim status</a></h3> <p><span class="cmp-text__bodytext">Check on the status of a claim searching by member name, dates of service and more.</span></p> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__8"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-5a6533c4a3" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--2 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0 aem-GridColumn--default--1"> <div id="container-99e5c6389e" class="cmp-container"> <div class="image image-center"> <div data-cmp-is="image" data-cmp-lazythreshold="0" data-cmp-src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Log%20out_blue?ts=1716172250160&amp;dpr=off" data-cmp-dmimage data-asset="/content/dam/bsca/en/shared/icons/48px/48px_Log out_blue.svg" id="image-b1658a1646" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Log%20out_blue?ts=1716172250160&dpr=off" class="cmp-image__image" itemprop="contentUrl" data-cmp-hook-image="image" data-aem-asset-id="e638ea06-7dcd-41eb-a4c6-6ce2c65b8421" data-trackable="true" alt/> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--9 aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div id="container-5103319407" class="cmp-container"> <div class="text"> <div id="text-5745b6beff" class="rte-content cmp-text "> <h3><a href="/providerwebapp/connect/claims/claimsRoutingTool" target="_blank" title="Claims routing tool">Claims routing tool</a></h3> <p><span class="cmp-text__bodytext">Find out where to submit your claims.</span></p> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__8"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-35a93dfd40" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--2 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0 aem-GridColumn--default--1"> <div id="container-e21eb15415" class="cmp-container"> <div class="image image-center"> <div data-cmp-is="image" data-cmp-lazythreshold="0" data-cmp-src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Laptop_blue?ts=1716172474041&amp;dpr=off" data-cmp-dmimage data-asset="/content/dam/bsca/en/shared/icons/48px/48px_Laptop_blue.svg" id="image-3e8a9b903c" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Laptop_blue?ts=1716172474041&dpr=off" class="cmp-image__image" itemprop="contentUrl" data-cmp-hook-image="image" data-aem-asset-id="9df50637-53d6-4004-8f3b-2fdd6195d874" data-trackable="true" alt/> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--9 aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div id="container-3ee21cf674" class="cmp-container"> <div class="text"> <div id="text-46a2c91136" class="rte-content cmp-text "> <h3><a href="https://cms.officeally.com/Pages/ResourceCenter/Landing/BlueShieldCA.aspx" target="_blank" title="Submit claims via Office Ally">Submit claims via Office Ally</a></h3> <p><span class="cmp-text__bodytext">Submit, correct and resubmit claims and manage payments online using Office Ally.</span></p> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__8"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-e14491196c" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--2 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0 aem-GridColumn--default--1"> <div id="container-181b1f637f" class="cmp-container"> <div class="image image-center"> <div data-cmp-is="image" data-cmp-lazythreshold="0" data-cmp-src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Check_blue?ts=1716172642048&amp;dpr=off" data-cmp-dmimage data-asset="/content/dam/bsca/en/shared/icons/48px/48px_Check_blue.svg" id="image-057147e08a" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Check_blue?ts=1716172642048&dpr=off" class="cmp-image__image" itemprop="contentUrl" data-cmp-hook-image="image" data-aem-asset-id="cf385b3c-fafc-42a2-aad0-8ebb0fa2c473" data-trackable="true" alt/> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--9 aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div id="container-5862991fea" class="cmp-container"> <div class="text"> <div id="text-9c2f73dae0" class="rte-content cmp-text "> <h3><a href="https://www.blueshieldca.com/providerwebapp/#/claims/preScreenClaims" target="_blank" title="Clear Claim Connection (C3)">Clear Claim Connection (C3)</a></h3> <p><span class="cmp-text__bodytext">Use our simulation tool to prescreen claims, view claim auditing rules, payment policies, and more.</span></p> <p><span class="cmp-text__bodytext"><img src="/content/dam/bsca/en/provider/images/pdf.svg" alt="">&nbsp;<a href="/content/dam/bsca/en/provider/documents/2024/claims/PRV_HowToPrescreenClaims.pdf" title="How to prescreen claims with C3" target="_blank">How to prescreen claims with C3</a>&nbsp;(PDF, 540&nbsp;KB)</span></p> <p><b data-rte-class="rte-temp"><span class="cmp-text__bodytext"><img src="/content/dam/bsca/en/provider/images/pdf.svg" alt="">&nbsp;<a href="/content/dam/bsca/en/provider/documents/2024/claims/PRV_C3_Presentation.pdf" title="Introduction to Clear Claim Connection (C3)" target="_blank">Introduction to Clear Claim Connection (C3)</a>&nbsp;(PDF, 816 KB) &nbsp;</span></b></p> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__8"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-e426ac25d1" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--2 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0 aem-GridColumn--default--1"> <div id="container-2cae2e733b" class="cmp-container"> <div class="image image-center"> <div data-cmp-is="image" data-cmp-lazythreshold="0" data-cmp-src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Paper_blue?ts=1716172791323&amp;dpr=off" data-cmp-dmimage data-asset="/content/dam/bsca/en/shared/icons/48px/48px_Paper_blue.svg" id="image-e0589f0a1e" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Paper_blue?ts=1716172791323&dpr=off" class="cmp-image__image" itemprop="contentUrl" data-cmp-hook-image="image" data-aem-asset-id="6cee559f-558b-45a7-acea-fe5f62a22563" data-trackable="true" alt/> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--9 aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div id="container-da4053f926" class="cmp-container"> <div class="text"> <div id="text-3fbd73a4a3" class="rte-content cmp-text "> <h3><a href="https://www.blueshieldca.com/providerwebapp/externalSSO?partnerId=FirstSource&amp;parentPage=claimsOverview&amp;tab=same" target="_blank" title="Submit via SympliSend">Submit via SympliSend</a></h3> <p><span class="cmp-text__bodytext">Upload first time paper claims with attachments and respond to itemization requests for claims in process.<br> </span></p> <p><span class="cmp-text__bodytext"><img src="/content/dam/bsca/en/provider/images/pdf.svg" alt="">&nbsp;<a href="/content/dam/bsca/en/provider/documents/2024/claims/PRV_SympliSend_BlueShield_User_Manual.pdf" title="How to use SympliSend Portal" target="_blank">How to use SympliSend Portal</a>&nbsp;(PDF, 1 MB)</span></p> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__8"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__32"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__16"></div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__16"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> <div class="text aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--7 aem-GridColumn--offset--default--2"> <div id="text-4cf926cc46" class="rte-content cmp-text "> <h2><a id="edi"></a>&nbsp;</h2> <h2>Manage electronic transactions</h2> <p><span class="cmp-text__bodytext">Learn how to submit claims and receive payments using Electronic Data Interchange (EDI) for faster processing and payment.</span></p> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__24"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__16"></div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-eb3b763962" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--2 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0 aem-GridColumn--default--1"> <div id="container-0aa79c5a80" class="cmp-container"> <div class="image image-center"> <div data-cmp-is="image" data-cmp-lazythreshold="0" data-cmp-src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Money_blue?ts=1716173125822&amp;dpr=off" data-cmp-dmimage data-asset="/content/dam/bsca/en/shared/icons/48px/48px_Money_blue.svg" id="image-91c5430b09" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Money_blue?ts=1716173125822&dpr=off" class="cmp-image__image" itemprop="contentUrl" data-cmp-hook-image="image" data-aem-asset-id="473fbd88-6651-4d6e-831f-d9436b836abf" data-trackable="true" alt/> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--9 aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div id="container-7abef8abc5" class="cmp-container"> <div class="text"> <div id="text-b403acd335" class="rte-content cmp-text "> <h3><a href="/en/provider/claims/electronic-transactions/enroll-in-edi">Enroll in EDI</a></h3> <p><span class="cmp-text__bodytext">Enroll in EDI for your organization, either through a clearinghouse or directly with Blue Shield.</span></p> <p><span class="cmp-text__bodytext"><img src="/content/dam/bsca/en/provider/images/exp.svg" alt="">&nbsp;<a href="/en/provider/claims/electronic-transactions" title="How to get started with EDI">How to get started with EDI</a></span></p> <p><span class="cmp-text__bodytext"><img src="/content/dam/bsca/en/provider/images/question.svg" alt="">&nbsp;<a href="/en/provider/claims/electronic-transactions/edi-era-eft-faqs" title="EDI, EFT and ERA frequently asked questions">EDI, EFT and ERA frequently asked questions</a></span></p> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__8"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-4ed6b928ee" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--2 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0 aem-GridColumn--default--1"> <div id="container-639d279000" class="cmp-container"> <div class="image image-center"> <div data-cmp-is="image" data-cmp-lazythreshold="0" data-cmp-src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Interaction-design_blue?ts=1716173362266&amp;dpr=off" data-cmp-dmimage data-asset="/content/dam/bsca/en/shared/icons/48px/48px_Interaction-design_blue.svg" id="image-e7b60805b7" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Interaction-design_blue?ts=1716173362266&dpr=off" class="cmp-image__image" itemprop="contentUrl" data-cmp-hook-image="image" data-aem-asset-id="76c71da5-39be-4ad8-865c-a0cc3cce22d1" data-trackable="true" alt/> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--9 aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div id="container-f60298af6d" class="cmp-container"> <div class="text"> <div id="text-cb5a898442" class="rte-content cmp-text "> <h3><a href="/en/provider/claims/electronic-transactions/edi-companion-guides">EDI companion guides</a></h3> <p><span class="cmp-text__bodytext">Access our companion guides for trading partners.</span></p> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__8"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-2f1e26d093" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--2 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0 aem-GridColumn--default--1"> <div id="container-9ab75550bc" class="cmp-container"> <div class="image image-center"> <div data-cmp-is="image" data-cmp-lazythreshold="0" data-cmp-src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Allergies_blue?ts=1716173540476&amp;dpr=off" data-cmp-dmimage data-asset="/content/dam/bsca/en/shared/icons/48px/48px_Allergies_blue.svg" id="image-d0c8519bc4" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Allergies_blue?ts=1716173540476&dpr=off" class="cmp-image__image" itemprop="contentUrl" data-cmp-hook-image="image" data-aem-asset-id="37200f62-c9e0-4090-b11d-4e720a1093f4" data-trackable="true" alt/> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--9 aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div id="container-8929f7a19f" class="cmp-container"> <div class="text"> <div id="text-4df8ff1f31" class="rte-content cmp-text "> <h3><a href="/en/provider/claims/electronic-transactions/hipaa-5010-icd-10-implementation">HIPAA 5010 and ICD-10 implementation</a></h3> <p><span class="cmp-text__bodytext">Read about changes to HIPAA standard transactions and codes.</span></p> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__8"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-1f533833fb" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--2 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0 aem-GridColumn--default--1"> <div id="container-0278ef3a4a" class="cmp-container"> <div class="image image-center"> <div data-cmp-is="image" data-cmp-lazythreshold="0" data-cmp-src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Paper_blue?ts=1716173676661&amp;dpr=off" data-cmp-dmimage data-asset="/content/dam/bsca/en/shared/icons/48px/48px_Paper_blue.svg" id="image-554a7436b9" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Paper_blue?ts=1716173676661&dpr=off" class="cmp-image__image" itemprop="contentUrl" data-cmp-hook-image="image" data-aem-asset-id="6cee559f-558b-45a7-acea-fe5f62a22563" data-trackable="true" alt/> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--9 aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div id="container-945e6b92b4" class="cmp-container"> <div class="text"> <div id="text-966ab3116a" class="rte-content cmp-text "> <h3><a href="/en/provider/claims/electronic-transactions/encounter-resources">Encounters resources</a></h3> <p><span class="cmp-text__bodytext">Learn about submission requirements, monthly performance summary reports and more.</span></p> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__8"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__32"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__16"></div> </div> <div class="text aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--7 aem-GridColumn--offset--default--2"> <div id="text-937e8afd01" class="rte-content cmp-text "> <h2><a id="profee"></a>&nbsp;<br> Facility and professional fee schedules<br> </h2> <p><span class="cmp-text__bodytext">Search the facility and professional fee schedules for Blue Shield of California providers and learn how we establish allowances.</span></p> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__24"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__16"></div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-40e78d6819" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--2 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0 aem-GridColumn--default--1"> <div id="container-11b11c5e3d" class="cmp-container"> <div class="image image-center"> <div data-cmp-is="image" data-cmp-lazythreshold="0" data-cmp-src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Health-record_blue?ts=1716174075803&amp;dpr=off" data-cmp-dmimage data-asset="/content/dam/bsca/en/shared/icons/48px/48px_Health-record_blue.svg" id="image-939a9120d1" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Health-record_blue?ts=1716174075803&dpr=off" class="cmp-image__image" itemprop="contentUrl" data-cmp-hook-image="image" data-aem-asset-id="36447e92-4268-483a-9ab9-79a3a33a8033" data-trackable="true" alt/> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--9 aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div id="container-981b389453" class="cmp-container"> <div class="text"> <div id="text-f186f1d902" class="rte-content cmp-text "> <h3><a href="/en/provider/claims/professional-fee-schedule">About professional fee schedule</a></h3> <p><span class="cmp-text__bodytext">Learn how we establish allowances for professional services.</span></p> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__8"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-9da6fc756c" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--2 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0 aem-GridColumn--default--1"> <div id="container-4a234a5944" class="cmp-container"> <div class="image image-center"> <div data-cmp-is="image" data-cmp-lazythreshold="0" data-cmp-src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Facilities_blue?ts=1716174150319&amp;dpr=off" data-cmp-dmimage data-asset="/content/dam/bsca/en/shared/icons/48px/48px_Facilities_blue.svg" id="image-ac2291ae7b" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Facilities_blue?ts=1716174150319&dpr=off" class="cmp-image__image" itemprop="contentUrl" data-cmp-hook-image="image" data-aem-asset-id="d78c4222-6097-4c03-81fc-2566566d00e8" data-trackable="true" alt/> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--9 aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div id="container-01d13ca192" class="cmp-container"> <div class="text"> <div id="text-148ad59e0b" class="rte-content cmp-text "> <h3><a href="/en/provider/auth/claims/facility-fee-schedule">View facility fee schedules</a></h3> <p><span class="cmp-text__bodytext">Access outpatient facility fee schedules for ASCs and hospitals.</span></p> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__8"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__32"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__16"></div> </div> <div class="text aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--7 aem-GridColumn--offset--default--2"> <div id="text-2341412b27" class="rte-content cmp-text "> <h2><a id="disputes"></a>&nbsp;</h2> <h2>Claim issues and disputes</h2> <p><span class="cmp-text__bodytext">Submit provider disputes, check status, and view letters online. See&nbsp;for more information.</span></p> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__24"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__16"></div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-3d0c5aa77c" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--2 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0 aem-GridColumn--default--1"> <div id="container-bd310dc1af" class="cmp-container"> <div class="image image-center"> <div data-cmp-is="image" data-cmp-lazythreshold="0" data-cmp-src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Bank_blue?ts=1716174631132&amp;dpr=off" data-cmp-dmimage data-asset="/content/dam/bsca/en/shared/icons/48px/48px_Bank_blue.svg" id="image-69fbf7d15d" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Bank_blue?ts=1716174631132&dpr=off" class="cmp-image__image" itemprop="contentUrl" data-cmp-hook-image="image" data-aem-asset-id="71863d77-502a-4073-b894-241183a40a8c" data-trackable="true" alt/> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--9 aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div id="container-8f0c7a3c13" class="cmp-container"> <div class="text"> <div id="text-15a81b3a39" class="rte-content cmp-text "> <h3><a href="/en/provider/claims/disputes">Provider disputes for Blue Shield of California Health Plan</a></h3> <p><span class="cmp-text__bodytext">Get details on the dispute filing process, including how to submit online or by mail.</span></p> <p><img src="/content/dam/bsca/en/provider/images/exp.svg" alt="">&nbsp;<a href="/en/provider/claims/disputes/faq-disputes" title="Submit provider dispute online FAQ">FAQs about submitting disputes online</a></p> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__8"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-1f8f69b7d5" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--2 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0 aem-GridColumn--default--1"> <div id="container-3d97908053" class="cmp-container"> <div class="image image-center"> <div data-cmp-is="image" data-cmp-lazythreshold="0" data-cmp-src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Bank_blue?ts=1716174777421&amp;dpr=off" data-cmp-dmimage data-asset="/content/dam/bsca/en/shared/icons/48px/48px_Bank_blue.svg" id="image-a68c6e2ff7" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Bank_blue?ts=1716174777421&dpr=off" class="cmp-image__image" itemprop="contentUrl" data-cmp-hook-image="image" data-aem-asset-id="71863d77-502a-4073-b894-241183a40a8c" data-trackable="true" alt/> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--9 aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div id="container-eaff4413d3" class="cmp-container"> <div class="text"> <div id="text-6071110aa2" class="rte-content cmp-text "> <h3><a href="/en/bsp/providers/policies-guidelines-standards-forms/disputes">Provider disputes for Blue Shield of California Promise Health Plan</a></h3> <p><span class="cmp-text__bodytext">Get details on the dispute filing process, including how to submit by mail.</span></p> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__8"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-c70eba5840" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--2 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0 aem-GridColumn--default--1"> <div id="container-534ad4ea3c" class="cmp-container"> <div class="image image-center"> <div data-cmp-is="image" data-cmp-lazythreshold="0" data-cmp-src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Search%20-%20Small_blue?ts=1716174995518&amp;dpr=off" data-cmp-dmimage data-asset="/content/dam/bsca/en/shared/icons/48px/48px_Search - Small_blue.svg" id="image-0954285d08" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Search%20-%20Small_blue?ts=1716174995518&dpr=off" class="cmp-image__image" itemprop="contentUrl" data-cmp-hook-image="image" data-aem-asset-id="4bf8c86f-48f4-4d49-8345-ba8c32360a8e" data-trackable="true" alt/> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--9 aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div id="container-3777f93a5f" class="cmp-container"> <div class="text"> <div id="text-7a8d73b93e" class="rte-content cmp-text "> <h3><a href="https://www.blueshieldca.com/providerwebapp/#/claims/claim-issues-dispute/submitted-disputes">View submitted disputes</a></h3> <p><span class="cmp-text__bodytext">Search disputes you've submitted online and by mail. You can also check status and view letters.</span></p> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__8"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-556031f72c" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--2 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0 aem-GridColumn--default--1"> <div id="container-38d11bc403" class="cmp-container"> <div class="image image-center"> <div data-cmp-is="image" data-cmp-lazythreshold="0" data-cmp-src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Mail_blue?ts=1716175132597&amp;dpr=off" data-cmp-dmimage data-asset="/content/dam/bsca/en/shared/icons/48px/48px_Mail_blue.svg" id="image-05623b8c54" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Mail_blue?ts=1716175132597&dpr=off" class="cmp-image__image" itemprop="contentUrl" data-cmp-hook-image="image" data-aem-asset-id="44e26642-e374-4728-9092-61c42e242eb3" data-trackable="true" alt/> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--9 aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div id="container-e117640f80" class="cmp-container"> <div class="text"> <div id="text-b892fb103a" class="rte-content cmp-text "> <h3><a href="/en/provider/claims/disputes/file-by-mail">File a dispute by mail</a></h3> <p><span class="cmp-text__bodytext">Download the form and get instructions on how to submit your dispute.</span></p> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__8"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-a0e6b6c4a6" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--2 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0 aem-GridColumn--default--1"> <div id="container-03ef992896" class="cmp-container"> <div class="image image-center"> <div data-cmp-is="image" data-cmp-lazythreshold="0" data-cmp-src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Money_blue?ts=1716175266675&amp;dpr=off" data-cmp-dmimage data-asset="/content/dam/bsca/en/shared/icons/48px/48px_Money_blue.svg" id="image-94897999b2" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Money_blue?ts=1716175266675&dpr=off" class="cmp-image__image" itemprop="contentUrl" data-cmp-hook-image="image" data-aem-asset-id="473fbd88-6651-4d6e-831f-d9436b836abf" data-trackable="true" alt/> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--9 aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div id="container-01a05d94f2" class="cmp-container"> <div class="text"> <div id="text-5945cc3936" class="rte-content cmp-text "> <h3><a href="/en/provider/claims/refund-requests">Refund requests</a></h3> <p><span class="cmp-text__bodytext">Learn about overpayment refund procedures for Blue Shield of California providers.</span></p> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__8"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-4cb309aae0" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--2 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0 aem-GridColumn--default--1"> <div id="container-a23686b08a" class="cmp-container"> <div class="image image-center"> <div data-cmp-is="image" data-cmp-lazythreshold="0" data-cmp-src="https://s7d9.scene7.com/is/content/blueshieldca/48px_PDF_blue?ts=1716175882471&amp;dpr=off" data-cmp-dmimage data-asset="/content/dam/bsca/en/shared/icons/48px/48px_PDF_blue.svg" id="image-1a5fe246fc" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="https://s7d9.scene7.com/is/content/blueshieldca/48px_PDF_blue?ts=1716175882471&dpr=off" class="cmp-image__image" itemprop="contentUrl" data-cmp-hook-image="image" data-aem-asset-id="590f0dbd-985a-4ebd-8e99-af2785489196" data-trackable="true" alt/> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--9 aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div id="container-ea9716da59" class="cmp-container"> <div class="text"> <div id="text-bf1252a71f" class="rte-content cmp-text "> <h3><a href="/content/dam/bsca/en/provider/documents/2024/claims/PRV_A52968-FF_0222_REF736904_R2PRV_Open_Negotiation_No_Surprises_Act.pdf" target="_blank">No Surprise Billing Act</a></h3> <p><span class="cmp-text__bodytext">Begin an open negotiation to dispute a claim covered by this act. This is typically for out-of-network providers.</span></p> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__8"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__32"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__16"></div> </div> <div class="text aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--7 aem-GridColumn--offset--default--2"> <div id="text-23ae951d37" class="rte-content cmp-text "> <h2><a id="policies"></a>&nbsp;</h2> <h2>Policies and guidelines<br> </h2> <p><span class="cmp-text__bodytext">Learn more about submitting claims and rules for payment, including time frames for submitting, contesting or adjusting a claim as well as special guidelines for electronic and paper claim forms.</span></p> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__24"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__16"></div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-6e3a276a9a" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--2 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0 aem-GridColumn--default--1"> <div id="container-80d466b437" class="cmp-container"> <div class="image image-center"> <div data-cmp-is="image" data-cmp-lazythreshold="0" data-cmp-src="https://s7d9.scene7.com/is/content/blueshieldca/48px_File-excel_blue?ts=1716176173594&amp;dpr=off" data-cmp-dmimage data-asset="/content/dam/bsca/en/shared/icons/48px/48px_File-excel_blue.svg" id="image-3529599c0b" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="https://s7d9.scene7.com/is/content/blueshieldca/48px_File-excel_blue?ts=1716176173594&dpr=off" class="cmp-image__image" itemprop="contentUrl" data-cmp-hook-image="image" data-aem-asset-id="45f95eaa-8fe4-4865-91e3-3872cc34dc75" data-trackable="true" alt/> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--9 aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div id="container-24baca9ed0" class="cmp-container"> <div class="text"> <div id="text-878ca27ecb" class="rte-content cmp-text "> <h3><a href="/en/provider/claims/policies-guidelines/ancillary-claim-guidelines">Ancillary claims filing</a></h3> <p><span class="cmp-text__bodytext">Review claim submission requirements for Blue Shield of California labs, specialty pharmacy and DME providers.</span></p> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__8"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-ac25f1b7c3" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--2 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0 aem-GridColumn--default--1"> <div id="container-ea5df87f1d" class="cmp-container"> <div class="image image-center"> <div data-cmp-is="image" data-cmp-lazythreshold="0" data-cmp-src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Facilities_blue?ts=1716177998132&amp;dpr=off" data-cmp-dmimage data-asset="/content/dam/bsca/en/shared/icons/48px/48px_Facilities_blue.svg" id="image-80c5944363" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Facilities_blue?ts=1716177998132&dpr=off" class="cmp-image__image" itemprop="contentUrl" data-cmp-hook-image="image" data-aem-asset-id="d78c4222-6097-4c03-81fc-2566566d00e8" data-trackable="true" alt/> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--9 aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div id="container-8b5e52ea9d" class="cmp-container"> <div class="text"> <div id="text-ea15bdb84b" class="rte-content cmp-text "> <h3><a href="/en/provider/auth/claims/policies-guidelines/ncci-edits">NCCI edits – physicians and hospitals outpatient</a></h3> <p><span class="cmp-text__bodytext">Learn about clinical coding edits for physicians &amp; outpatient hospitals.</span></p> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__8"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-1a4cb4594c" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--2 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0 aem-GridColumn--default--1"> <div id="container-f5eb0333b5" class="cmp-container"> <div class="image image-center"> <div data-cmp-is="image" data-cmp-lazythreshold="0" data-cmp-src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Money_blue?ts=1716178123040&amp;dpr=off" data-cmp-dmimage data-asset="/content/dam/bsca/en/shared/icons/48px/48px_Money_blue.svg" id="image-3a8fcf9cb4" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Money_blue?ts=1716178123040&dpr=off" class="cmp-image__image" itemprop="contentUrl" data-cmp-hook-image="image" data-aem-asset-id="473fbd88-6651-4d6e-831f-d9436b836abf" data-trackable="true" alt/> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--9 aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div id="container-2fed7f502b" class="cmp-container"> <div class="text"> <div id="text-30c1a2dbfd" class="rte-content cmp-text "> <h3><a href="/en/provider/auth/claims/policies-guidelines/payment-policies">Payment policies and rules</a></h3> <p><span class="cmp-text__bodytext">Read an overview of Blue Shield's payment processing policies and rules.</span></p> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__8"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-3a4acdf5e4" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--2 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0 aem-GridColumn--default--1"> <div id="container-5e034b8aca" class="cmp-container"> <div class="image image-center"> <div data-cmp-is="image" data-cmp-lazythreshold="0" data-cmp-src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Syringe_blue?ts=1716178382721&amp;dpr=off" data-cmp-dmimage data-asset="/content/dam/bsca/en/shared/icons/48px/48px_Syringe_blue.svg" id="image-706a45287d" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Syringe_blue?ts=1716178382721&dpr=off" class="cmp-image__image" itemprop="contentUrl" data-cmp-hook-image="image" data-aem-asset-id="bbd4adcf-4705-476c-a04b-9b49e68a8ee4" data-trackable="true" alt/> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--9 aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div id="container-030ea5f89a" class="cmp-container"> <div class="text"> <div id="text-c9c8b3eadc" class="rte-content cmp-text "> <h3><a href="/en/provider/claims/policies-guidelines/medications">Medications</a></h3> <p><span class="cmp-text__bodytext">View a list of Richman Injectables (high-cost, adult, childhood, etc.), Gene and Cell Therapy agents (including CAR-T) and Behavioral Health medications.</span></p> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__8"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-04ad18182f" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--2 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0 aem-GridColumn--default--1"> <div id="container-abb216ae73" class="cmp-container"> <div class="image image-center"> <div data-cmp-is="image" data-cmp-lazythreshold="0" data-cmp-src="https://s7d9.scene7.com/is/content/blueshieldca/48px_File-excel_blue?ts=1716178536970&amp;dpr=off" data-cmp-dmimage data-asset="/content/dam/bsca/en/shared/icons/48px/48px_File-excel_blue.svg" id="image-14c0a5239a" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="https://s7d9.scene7.com/is/content/blueshieldca/48px_File-excel_blue?ts=1716178536970&dpr=off" class="cmp-image__image" itemprop="contentUrl" data-cmp-hook-image="image" data-aem-asset-id="45f95eaa-8fe4-4865-91e3-3872cc34dc75" data-trackable="true" alt/> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--9 aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div id="container-16a3048d62" class="cmp-container"> <div class="text"> <div id="text-1bc53f04d1" class="rte-content cmp-text "> <h3><a href="/en/provider/claims/policies-guidelines/claim-forms-guidelines">Special guidelines for claim forms</a></h3> <p><span class="cmp-text__bodytext">Find helpful guidelines for CMS 1500 and UB-04 claim forms.</span></p> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__8"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-c3787a21c2" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--2 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0 aem-GridColumn--default--1"> <div id="container-231724711b" class="cmp-container"> <div class="image image-center"> <div data-cmp-is="image" data-cmp-lazythreshold="0" data-cmp-src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Pill-bottle_blue?ts=1716178693618&amp;dpr=off" data-cmp-dmimage data-asset="/content/dam/bsca/en/shared/icons/48px/48px_Pill-bottle_blue.svg" id="image-5f34f4727f" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Pill-bottle_blue?ts=1716178693618&dpr=off" class="cmp-image__image" itemprop="contentUrl" data-cmp-hook-image="image" data-aem-asset-id="5b30116b-3527-48e0-9802-0cd4867ae609" data-trackable="true" alt/> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--9 aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div id="container-baad9307fc" class="cmp-container"> <div class="text"> <div id="text-249b9b9fe8" class="rte-content cmp-text "> <h3><a href="/en/bsp/providers/working-with-us/ndc-pad-requirements">National Drug Code requirements for physician administered drugs</a></h3> <p><span class="cmp-text__bodytext">Find requirements and drug list for encounters for Blue Shield Promise members.</span></p> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__8"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__24"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__16"></div> </div> <div class="text aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--7 aem-GridColumn--offset--default--2"> <div id="text-b667e42ec7" class="rte-content cmp-text "> <h2><a id="resources"></a>&nbsp;</h2> <h2>Additional resources</h2> <p><span class="cmp-text__bodytext">Take advantage of educational resources and find important claim contacts.</span></p> </div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-aa02f48e51" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--2 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0 aem-GridColumn--default--1"> <div id="container-47f7d62cc8" class="cmp-container"> <div class="image image-center"> <div data-cmp-is="image" data-cmp-lazythreshold="0" data-cmp-src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Book_blue?ts=1716178911347&amp;dpr=off" data-cmp-dmimage data-asset="/content/dam/bsca/en/shared/icons/48px/48px_Book_blue.svg" id="image-edf7bf65bf" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <img src="https://s7d9.scene7.com/is/content/blueshieldca/48px_Book_blue?ts=1716178911347&dpr=off" class="cmp-image__image" itemprop="contentUrl" data-cmp-hook-image="image" data-aem-asset-id="f946571d-81ae-4acf-8519-b232b9290981" data-trackable="true" alt/> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--9 aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div id="container-a3344c658b" class="cmp-container"> <div class="text"> <div id="text-e562105038" class="rte-content cmp-text "> <h3><a href="/en/provider/news-education/learning-resources#claims-billing">Claims and billing tutorials</a></h3> <p><span class="cmp-text__bodytext">Find recorded webinars, eLearning, FAQs and &quot;how to&quot; guides.</span></p> </div> </div> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__8"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-d82fcd4d87" class="cmp-container"> <div class="aem-Grid aem-Grid--12 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