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Blue Shield of California Promise Health Plan

dentalmedicalvision

Summary

Blue Shield of California Promise Health Plan is a dental, medical, and vision payer operating in California. Claims route under payer ID C1SCA. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
C1SCA
Also known as
Blue Shield California Promise Health Plan, California Physician’s Service
Service area
CA

Clearinghouse transaction setup

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

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Blue Shield of California Promise Health Plan?
The payer ID for Blue Shield of California Promise Health Plan is C1SCA.
Does Blue Shield of California Promise Health Plan require ERA enrollment?
Yes. Blue Shield of California Promise Health Plan requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Blue Shield of California Promise Health Plan cover?
Blue Shield of California Promise Health Plan operates in CA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does Blue Shield of California Promise Health Plan offer?
Blue Shield of California Promise Health Plan covers dental, medical, and vision.
Can I submit claims to Blue Shield of California Promise Health Plan electronically?
Yes. Blue Shield of California Promise Health Plan is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.