How do I get reimbursed from Kaiser?
How do I get reimbursed for care? If you paid for emergency or urgent care1 while away from home, you’ll need to file a claim for reimbursement. For help, call the Away from Home Travel line at 951-268-3900 (TTY 711). To submit a claim, visit My Coverage and Costs.
How do I submit a bill to Kaiser Permanente?
For claims filing requirements or status inquiries, you may contact Kaiser Permanente by calling 1-800-390-3510.
Where do I send my Kaiser claim?
HMO/DHMO/Senior Advantage Products
| Benefits and eligibility | 800-464-4000 |
|---|---|
| Claims filing requirements and status | 800-390-3510 |
| EDI (Electronic claims submission) | [email protected] |
| Claims submission address | Kaiser Foundation Health Plan, Inc. |
| Claims Administration Department P.O. Box 7004 Downey, CA 90242-7004 |
How do I check my Kaiser claim status?
KP Online Affiliate Link self-service tool. You can also check your claim status as a guest user without registering for KP Online Affiliate Link. If you are unable to resolve your questions through KP Online Affiliate Link, call the Member Services Contact Center (MSCC) at (800) 390-3510.
Is the patient covered under Medicare?
Medicare is the federal health insurance program for: People who are 65 or older. Certain younger people with disabilities. People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD)
Why was my Kaiser terminated?
If the member, of any health plan, does not make their monthly premium payment within 30 days, the health insurance plan is terminated. The last month of coverage is the last month that the premium payment was made in full.
Does Kaiser send you to collections?
If we do not receive payment we will continue to send you bills until we receive payment in full. Unified Billing Service might contact you about your balance on behalf of Kaiser Permanente. If you fail to pay your bills, your unpaid balance will be referred to a collection agency as explained under Nonpayment below.
How do I file a claim with Kaiser in Northern California?
California – Northern For claims inquires and issues, please call 800-390-3510. For inquiries for DME claims and billing information, call 800-337-0115 (toll-free).
Where is Kaiser Permanente headquarters address?
Oakland, CAKaiser Permanente / Headquarters
How long does Kaiser take to process a claim?
After we receive a claim, processing can take 4 to 6 weeks. How do I submit a claim for medical services? Attach an itemized statement from the provider that includes: Member’s name and ID number.
How do I verify my Kaiser insurance?
Verification
- Request Kaiser Permanente member ID card and check identity against a photo ID.
- Contact Kaiser Permanente by telephone, 503-813-2000 or 1-800-813-2000. If.
- You may also download the Eligibility Verification Request Form and fax eligibility requests to Kaiser Permanente Membership Services at 503-735-2706.
What medical procedures are not covered by Medicare?
Some of the items and services Medicare doesn’t cover include:
- Long-Term Care.
- Most dental care.
- Eye exams related to prescribing glasses.
- Dentures.
- Cosmetic surgery.
- Acupuncture.
- Hearing aids and exams for fitting them.
- Routine foot care.
What is a Kaiser Permanente claim?
What is a claim? A claim is a request for payment that you, your doctor, or other health care provider sends to the company paying for those services — in this case, Kaiser Permanente. It is not the same thing as a bill or your Explanation of Benefits, but it can be used to help you understand how your benefits were used to determine your costs.
When do I need to submit a reimbursement request to Kaiser?
Reimbursement requests must be received by Kaiser Permanente within 12 months from the date of service. I have Medicare Part D drug coverage. How do I submit a claim for my prescription? Fill out the Member reimbursement drug claim form(PDF)
Where do I Send my Explanation of benefits to Kaiser?
Note: If Kaiser Permanente is your secondary coverage, you need to include a copy of your Explanation of Benefits. Mail the completed form to: Claims Processing Kaiser Permanente P.O. Box 30766 Salt Lake City, UT 84130-0766; Claims missing required information may be returned without reimbursement.
Does Kaiser Permanente charge to translate forms?
If you are unable to, Kaiser Permanente will translate at no cost. Mail the completed form to: Claims Processing Kaiser Permanente P.O. Box 30766 Salt Lake City, UT 84130-0766