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 C1SCA
  • Real-time 270/271
  • Medicaid

Three ways to verify Blue Shield of California Promise Health Plan coverage

  1. Payer portal — free, but one patient at a time and 10–15 minutes each with logins.
  2. Phone (IVR) — hold times vary; no written record for the chart.
The third way

Automated 270/271 check

Full benefit detail in seconds, batched for your whole schedule — not one patient at a time.

From $0.50 per check, pay-as-you-go.

Payer facts

Blue Shield of California Promise Health Plan at a glance

What billers need before running a check.

  • Payer ID

    C1SCA

  • Real-time eligibility

    AvailableResponses return in seconds, 24/7.

  • Coverage

    dental, medical, visionMedicaid

  • Operating area

    California

  • Payer website

    www.blueshieldca.com
Transactions

Supported transactions

What can be exchanged electronically with Blue Shield of California Promise Health Plan today.

  • Eligibility (270/271)

    SUPPORTEDReal-time benefit and coverage checks

  • Claim status (276/277)

    NOT AVAILABLEWhere a submitted claim stands

  • Professional claims (837P)

    SUPPORTEDPhysician and outpatient claims

  • Institutional claims (837I)

    SUPPORTEDFacility claims

  • Dental claims (837D)

    NOT AVAILABLEDental claims

  • Remittance (835 ERA)

    ENROLLMENT REQUIREDElectronic remittance advice

  • Coordination of benefits

    NOT AVAILABLESecondary-payer routing

  • Claim attachments (275)

    NOT AVAILABLESupporting documentation
Compare

Portal vs. phone vs. automated

The same verification, three ways.

MeasurePayer portalPhone / IVRAutomated check
Time per patient10–15 min15–30 minSeconds
Cost per checkStaff time, one login per patient~$8.57 in staff time*from $0.50
Record for the chartScreenshotNoneFull audit trail
Whole-day scheduleOne at a timeOne at a timeBatched overnight

*A manual eligibility check costs a medical practice $8.57; an electronic one costs $2.00. Source: 2024 CAQH Index.

In production

What Medman does in practices today

  • 65%

    fewer denials at Valley Diabetes & Obesity

  • 90%

    of eligibility checks fully automated

  • $107–149K

    annual savings, small specialty practice

  • 24 mo

    in production

Questions

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 C1SCA.

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.

Directory

More payers

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Run your first Blue Shield of California Promise Health Plan eligibility check

From $0.50 per check, pay-as-you-go. No annual contract, no implementation project.

How the eligibility agent worksSee pricing

Billing more than Blue Shield of California Promise Health Plan? — upload it and see which of your payers run automatically.