Human Resources

Blue Shield - Find a Provider

1. Go to the Blue Shield provider search tool: www.blueshieldca.com/prism
2. Choose your search criteria:
   • Enter your location
   • Enter a doctor's name, specialty, or medical group
   • Choose a Plan:
     • For those currently on Anthem Choice, Care, EPO, and HDHP - Blue Shield of California PPO Network
       • ​For those currently on Early Retiree Choice, Care, EPO and Medicare PPO/Medicare EPO - Blue Shield of California PPO Network
     • For those currently on Anthem Select - Tandem PPO 
       • For those currently on Early Retiree Anthem Select - Tandem PPO
     • For out of state coverage - Blue Card PPO
       • ​Plan Code: EMF
   • 
3. After entering your search criteria, choose "Search"
4. A results list will be populated based on your given criteria
   • You can increase the search radius to capture a large group of providers

Tips for Searching for a Provider

You can filter your searches when searching for providers by clicking the "Filter & Sort" tab.

• Expand your search mile radius. Blue Shield's site is defaulted to search within a 15-mile radius for providers based on the location you input. It's recommended to increase the radius to capture more providers!
• If you know it, you can search by National Provider Identifier or License Identifier.
• Make sure to double check if the provider is accepting new patients. Some providers may show up on your search, but may not be taking new patients and vice versa. You can filter this search by clicking or unclicking the "accepting new patients" check box.

See below for an alternative method of searching for a provider:

1. Go to the Blue Shield provider search tool: www.blueshieldca.com/prism
2. Use the tiles to select a specialty.
   • 
   • If you select the Doctors & Specialists tile, you will be prompted to further refine your search:
     • You can search by Doctor Type, Doctor Name, or Medical Group.
     • Use the drop down to refine your search.
     • NOTE: regarding Family Practice v. General Practice
       • Family Practice serves all ages and genders, so it can include pediatrics and geriatrics.
       • General Practice only takes adults and may not include as wide a range of services. You may be referred out to a specialist.
   • You may be prompted to login or continue as a guest. Select "Continue as a Guest."
3. Next, enter your location and select "Continue."
4. If prompted to select your plan, choose "Show Popular Plans."
   • For those currently on Anthem Choice, Care, EPO, and HDHP -- Blue Shield of California PPO Network
   • For those currently on Anthem Select - Tandem PPO 
   • Scroll to the bottom and select "Continue with this Plan"
5. A results list will be populated based on your given criteria
   • You can increase the search radius to capture a large group of providers
6. For Mental Health, you will be prompted to "Continue as a Guest", enter your location, and then select a plan. 
   • Plan Coverage Year: 2024
   • Plan Type: 2024 Employer Group Plans (101+ Employees)
   • Subplan: 
     • For those currently on Anthem Select, use the Tandem PPO
     • All other plans, use Blue Shield of California PPO Network