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Payer source directory

Blue Shield of California Prior Authorization

Find Blue Shield of California prior authorization source documents and review an aggregate inventory of 7,145 structured rules across 52 documents.

Reviewed by QuickIntell RCM Editorial Team · Last reviewed

Source inventory

QuickIntell consolidates source metadata at the payer and intent level. The underlying rules support this directory but do not become separate public pages or replace the controlling payer document.

Structured rules
7,145
Source documents
52
Latest dated source
May 1, 2026

Verify authorization requirements before submission

Match the member's exact Blue Shield of California product, state, network, and date of service before deciding whether authorization is required. A policy for one product line does not establish requirements for another.

Record the submission channel, reference number, requested service and codes, supporting-document status, and follow-up deadline. Retain the payer's current response with the account record.

Inventory coverage

This collection groups related source classifications to match a single search intent. Counts describe the current sanitized projection captured on August 8, 2026.

Source classificationRulesDocuments
Prior Authorization7,07750
Utilization Management682

Representative payer source documents

Use the payer source documents below as starting points. Confirm the member's plan, state, network, and date of service in the current payer portal before acting.

  1. Medi-Cal/Cal MediConnect Prior Auth Code List – December 2021

    Prior Authorization · 365 supporting rules

  2. Medi-Cal/Cal MediConnect Prior Auth Code List – February 2022

    Prior Authorization · 265 supporting rules

  3. Medi-Cal Prior Auth Code List – May 2023

    Prior Authorization · 254 supporting rules

  4. Medi-Cal Prior Authorization List - May 2026

    Prior Authorization · Effective May 1, 2026 · 234 supporting rules

  5. Medi-Cal Prior Auth Code List – January 2026

    Prior Authorization · 234 supporting rules

  6. Medi-Cal Prior Auth Code List – February 2026

    Prior Authorization · 231 supporting rules

Related payer policy directories

Blue Shield of California FormularyBlue Shield of California Medical PolicyCigna Prior AuthorizationAetna Prior AuthorizationCentene Prior AuthorizationMolina Healthcare Prior Authorization

Related QuickIntell resources

Blue Shield of California payer guidePrior authorization guideQuickAuthQuickRCM

Disclaimer

This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against Blue Shield of California's current published documents before submission. CPT® is a registered trademark of the American Medical Association.