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Need help with provider connection

Go paperless by submitting claims and managing payments online. The provider connection website gives you easy access to the tools and information you need to serve blue shield and blue shield promise members as well as to support your practice. This guide will explain these actions in depth, so you know exactly what to do for your blue shield patients. Discover provider training and support tools designed to help you get the most out of blue shield’s provider connection website.

There are three types of provider accounts Provider, mso, and billing service A provider connection account disables after six months of inactivity See update your provider connection password for instructions regarding how to unlock or reinstate your provider connection account.

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Provider connection reference guide find detailed instructions for activities like checking eligibility, making a referral, determining if prior authorization is necessary, prescreening claims, checking claims status, and other tools and information you need to serve our members.

You can check if a service requires authorization, submit a request, attach documentation, track status, and recei E determinations for both medical and pharmacy authorizations Code is always written in dev You transport it to qa and prod

Where you run it depends on what you want to do.

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