Dental insurance

Members may file up to 180 days from the claim decision date or the date of the incident. Blue Shield states it mails an acknowledgment within 5 calendar days, resolves standard grievances within 30 calendar days and expedited appeals within 3 calendar days. A doctor or authorized representative may file an appeal on the member's behalf by mail or phone. Online filing requires the member's account login; the paper grievance form is linked from the same page. Blue Shield of California and Blue Shield Life commercial and individual plans. Blue Shield Promise (Medi-Cal) and Medicare members use separate grievance and appeal processes linked from this page. Provider claim disputes use the provider dispute resolution offices, not this member process.