Blue Shield of California Promise Health Plan

The HIPAA Privacy Rule protects most individually identifiable health information held or transmitted by a covered entity or its business associate, in any form or medium, whether electronic, on paper, or oral. The Privacy Rule calls this information protected health information (PHI)2. Protected health information is information, including demographic information, which relates to:

For example, a medical record, laboratory report, or hospital bill would be PHI because each document would contain a patient┐s name and/or other identifying information associated with the health data content.

By contrast, a health plan report that only noted the average age of health plan members was 45 years would not be PHI because that information, although developed by aggregating information from individual plan member records, does not identify any individual plan members and there is no reasonable basis to believe that it could be used to identify an individual.

The relationship with health information is fundamental. Identifying information alone, such as personal names, residential addresses, or phone numbers, would not necessarily be designated as PHI. For instance, if such information was reported as part of a publicly accessible data source, such as a phone book, then this information would not be PHI because it is not related to heath data (see above). If such information was listed with health condition, health care provision or payment data, such as an indication that the individual was treated at a certain clinic, then this information would be PHI.

For more information click here.


Blue Shield Promise Medicare

Provider & Pharmacy Directory Request

Order a Provider Directory

By Telephone

TTY/TTD: 711
Hours: 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m. weekdays, from Apr. 1st - Sept. 30th

In Writing

Blue Shield of California Promise Health Plan
Member Services
601 Potrero Grande Dr.
Monterey Park, CA 91755

Please complete the following information:

Date format: MM/DD/YYYY
Phone number format: XXX-XXX-XXXX






© 2002 - 2020 Blue Shield of California Promise Health Plan. All Rights Reserved.

Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association