Blue Shield of California fax number

Fax destination details

Department

Translation Liaison (Language Assistance Program)

Purpose

Submit written language translation requests for Blue Shield members using the Language Assistance Request Form; fax the completed form to the Blue Shield Translation Liaison.

Form

Language Assistance Request Form — Language Assistance Request Form

Address

Blue Shield of California, 601 12th Street, Oakland, CA 94607-3613, USA

Voice phone

(800) 541-6652

Website

Visit organization website

Before you send

• Confirm that this exact department handles your document or request.
• Check the organization website or call its main line for the current fax number.
• Include a cover sheet and any case, member, claim, or form reference required.
• Keep the delivery confirmation with your submission records.

Fill Date of request; From: name/organization; Subscriber I.D.; Subscriber name; Patient name; Patient date of birth; Requested Language; Patient contact number; If translation liaison has questions, provide a contact person; Provide provider contact number; Brief description of document to be translated (attach copy); Indicate whether urgent or non-urgent; Notify when fulfilled; Include a cover note; Fax the completed form to the Blue Shield Translation Liaison. The form emphasizes confidentiality and retrieval of faxed documents.

Official form instructions are published as a downloadable file on the organization's website.