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Payer Directory
How to check Blue Shield of California Promise Health Plan eligibility
A portal or phone check takes a front-desk staffer 10–15 minutes per patient. A real-time 270/271 check returns plan status, copays, deductibles, and out-of-pocket maximums in seconds.
Payer ID
57115Real-time 270/271Medicare · MedicaidThree ways to verify Blue Shield of California Promise Health Plan coverage
- Payer portal — free, but one patient at a time and 10–15 minutes each with logins.
- Phone (IVR) — hold times vary; no written record for the chart.
- Automated 270/271 check — full benefit detail in seconds, batched for the whole schedule, from $0.50 per check.
Blue Shield of California Promise Health Plan at a glance
What billers need before running a check.
Payer ID
57115Also known as 10973, 1627, 57115MA, 6114
Real-time eligibility
Available
Responses return in seconds, 24/7.
Coverage
dental, medical, vision
Medicare · Medicaid
Operating area
California
Payer website
www.blueshieldca.comSupported transactions
What can be exchanged electronically with Blue Shield of California Promise Health Plan today.
| Transaction | Status |
|---|---|
Eligibility (270/271) Real-time benefit and coverage checks | SUPPORTED |
Claim status (276/277) Where a submitted claim stands | NOT AVAILABLE |
Professional claims (837P) Physician and outpatient claims | SUPPORTED |
Institutional claims (837I) Facility claims | SUPPORTED |
Dental claims (837D) Dental claims | NOT AVAILABLE |
Remittance (835 ERA) Electronic remittance advice | ENROLLMENT REQUIRED |
Coordination of benefits Secondary-payer routing | NOT AVAILABLE |
Claim attachments (275) Supporting documentation | NOT AVAILABLE |
Portal vs. phone vs. automated
The same verification, three ways.
| Payer portal | Phone / IVR | Automated check | |
|---|---|---|---|
| Time per patient | 10–15 min | 15–30 min | Seconds |
| Cost per check | ~$6.72 staff time* | ~$6.72+ staff time* | from $0.50 |
| Record for the chart | Screenshot | None | Full audit trail |
| Whole-day schedule | One at a time | One at a time | Batched overnight |
*CAQH Index benchmark for a manual eligibility verification.
Frequently asked questions
What is the payer ID for Blue Shield of California Promise Health Plan?+–
Blue Shield of California Promise Health Plan uses payer ID 57115. It also appears as 10973, 1627, 57115MA, 6114 in some systems.
Does Blue Shield of California Promise Health Plan support real-time eligibility verification?+–
Yes. Blue Shield of California Promise Health Plan accepts real-time 270/271 eligibility transactions, so a check returns plan status and benefit detail in seconds instead of the 10–15 minutes a portal login takes.
How long does a Blue Shield of California Promise Health Plan eligibility check take?+–
A portal check takes 10–15 minutes of staff time per patient. An automated real-time check returns in seconds and can run for an entire day's schedule overnight.
Run your first Blue Shield of California Promise Health Plan eligibility check in 5 minutes
From $0.50 per check, pay-as-you-go. No contract, no implementation project.
65%
fewer denials at Valley Diabetes & Obesity
90%
of eligibility checks fully automated
$107–149K
annual savings, small specialty practice
24 mo
in production
