Blue Shield of California

Summary

Blue Shield of California is a regional health plan offering dental, medical, and vision coverage operating in California. Claims route under payer ID 100935, with 11 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Blue Shield CA Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

100935Also seen as 10053, 1409, 6569, 8855, 94036, BS001 and 5 more

Also known as

Blue Shield of California - Medicare Advantage

Uses CAQH

YesApplication route: Payer portal application

Service area

CA

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Blue Shield of California?

The payer ID for Blue Shield of California is 100935. Alternate IDs seen across clearinghouses include 10053, 1409, 6569, 8855.

How long does Blue Shield of California provider enrollment take?

Blue Shield of California provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Blue Shield of California require CAQH?

Yes. Blue Shield of California uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does Blue Shield of California require ERA enrollment?

Yes. Blue Shield of California requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Blue Shield of California cover?

Blue Shield of California operates in CA. Coverage can differ by plan and product line, so confirm the specific plan before you file.