Provider Information | National Contracting (2024)

Access listings for provider relations, member services call centers, and other useful contacts in each region.

California – Northern
California – Southern
Colorado
Georgia
Hawaii
Mid-Atlantic States
Northwest
Washington

California – Northern

KPHealthConnect Online-Affiliate

If you are a Kaiser Permanente contracted provider and are interested in learning more about KPHealthConnect Online-Affiliate, please email Permanente Affiliated Provider Services at KP-NCAL-OnlineAffiliate@kp.org.

Provider contact information

For answers to questions or to obtain additional contact information, please refer to Section 2: Key Contacts of the Northern California Provider Manual for HMO members for useful contact information.

California – Southern

KPHealthConnect Online-Affiliate

If you are a Kaiser Permanente contracted provider and are interested in learning more about KPHealthConnect Online-Affiliate, please call Permanente Affiliated Provider Services at 626-405-3289

If you have completed the KPHealthConnect Online-Affiliate enrollment process, received your National User Identification Number, and are unable to sign on, please call the Help Desk at 1-888-457-4872 (toll free). Choose Option 1 for HealthConnect support and identify yourself as a "KPHealthConnect Online-Affiliate" user.

Provider contact information

For answers to questions or to obtain additional information, please refer to Southern California Provider contact information.

Claims contact information

For claims filing requirements or status inquiries, you may contact Kaiser Permanente by calling 1-800-390-3510 or refer to claims contact information for Southern California.

Referral information

The Outside Referral Department (ORD) is responsible for coordinating and tracking authorized referrals. Pease consult the Outside Referral Services Department (ORD) Referral Coordinator for your Kaiser Permanente Medical Center.

Colorado

KPHealthConnect Online-Affiliate

For contracted providers in Colorado, if you need additional assistance, please contact us at 866-214-2434 or 303-338-3216 within the Denver/Boulder area, or email us at CO-Affiliate-Link@kp.org. You can leave a message 24 hours a day. Your inquiry will be responded to within 24 hours.

Colorado Network Development Provider and Contracting Department

The Kaiser Permanente of Colorado Network Development Provider and Contracting Department is committed to providing support to you and your staff. This includes responding to your operational inquiries and providing education regarding new products and plans.

Please contactProvider Experience at (866) 866-3951 for answers to questions or to obtain additional information.

Referral information

If you have questions regarding the referral you have received, please contact the Referral Center at 303-636-3131 during business hours of 8:30am to 5:00 pm MST, Monday through Friday. You will need to leave a message during the lunch hour of 12pm to 1pm. Messages left during the lunch hour will be returned within the same day. Messages left outside of business hours will be returned the following business day.

Georgia

Provider Relations contacts

If you have questions about policies not included in this website, or would like more information about what you've found here, please call Provider Relations at 877-465-0029 (toll-free) or 404-364-4934.
The Provider Relations Department is available Monday through Friday, from 8:30 a.m. to 5:00 p.m. ET.

Kaiser Permanente Call Center

The Kaiser Permanente Call Center for the Georgia region provides telephone access to members who are seeking appointment scheduling services or telephone advice.

Kaiser Permanente Departments and services
If you would like to contact a specific Kaiser Permanente department or service, please refer to this contact list for the Georgia region.

Hawaii

Authorizations

Contact Authorization and Referral Management for information about authorizations procedures including denials and appeals.

Monday – Friday 8 am – 5 pm
Phone: 1-808-432-5687
Fax: 1-808-432-5691 or 1-808-432-5667

Claims Customer Service

Contact Claims Customer Service for general claims information and billing questions, claim payment status, claims submission.

Monday – Friday 8 am – 4:30 pm
Phone: 1-877-875-3805
Fax: 1-808-432-5433

Customer Service

Contact Customer Service for general eligibility questions and benefit verification.

Monday – Friday 7:45 am – 5:00 pm
Saturday – 8 am – 12 pm
Oahu 1-808-432-5955
Toll Free 1-800-966-5955
Hearing or Speech Impaired Toll Free:1-877-447-5990 (TTY)
Fax: 1-808-432-5300

Neighbor Island Transfer Coordinators

Routine transfers (808) 432-7252
After Hours (808)432-7250
Fax: (808) 432-7251

Emergency Hotline

For emergency transfers to Kaiser Permanente Moanalua Medical Center & routine transfers after clinic hours:

1-808-432-7030
24 hours

Provider Contracting and Relations

Provider Contracting and Relations is available to update provider demographic information such as tax ID change, address change, addition of providers, and termination of providers.

1-808-432-5429
Fax: 1-808-432-5667
Monday – Friday 7:45 am – 4:30 pm

Provider Contracting and Relations
711 Kapiolani, 1st Floor
Honolulu, Hawaii 96813

Additional contact information

Additional contact information is available for download in Chapter 2 of the Affiliated Provider Manual.

Mid-Atlantic States

Provider Relations

The Provider Relations department is available Monday through Friday, from 9:00 a.m. to 5:00 p.m. Call Provider Relations at 1-877-806-7470 for:

  • contracted rate payment questions
  • monthly reimbursem*nt questions
  • billing inquiries
  • form requests

Member Services

Call Member Services at 1-800-810-4766 for questions about:

  • check claims status and general claims payment
  • member benefits
  • members needing care who don't have a Kaiser Permanente identification card
  • members terminated for greater than 90 days

Referrals and authorizations

The Utilization Management Operations Center is the Mid-Atlantic State's centralized authorizations and referrals department for Kaiser Permanente. The Utilization Management Operations Center provides comprehensive access and utilization information 24 hours a day, 7 days a week.

Contact the Utilization Management Operations Center staff at 1-800-810-4766 if you would like assistance in the following areas:

  • pre-authorization (select prompt number 2)
  • referrals (select prompt number 2)
  • hospital admissions (select prompt number 1)
  • reporting emergency room visits (select prompt number 1)
  • initiating case management (select prompt number 1)
  • checking member copayments or member eligibility status (select the appropriate prompt)

Northwest

Provider Relations

Provider demographic updates, such as tax ID change, address change, addition of providers, termination of providers. Provider education and training. Contract questions.

503-813-3376

Member Services

General enrollment questions. Eligibility and benefit verification. Copay, deductible, and coinsurance information. Members presenting with no Kaiser Permanente identification number.

503-813-2000 or 1-800-813-2000
8 a.m. to 6 p.m.

Claims

Claims - general. Claim payment status. Claims submission. Coordination of benefits. Third-party liability. Workers Compensation.

503-735-2727 or 1-866-441-1221

Claims (refunds)

Questions regarding refund requests.

503-813-1900 or 1-800-756-2777

Washington

Provider Services

For information about joining our network, or to inform us of a change to your practice.

206-988-2000
KPWA.provider-services@kp.org

Provider Assistance Unit (PAU)

For status updates or issues with claims and referrals.

1-888-767-4670

Kaiser Permanente Departments and services

If you would like to contact a specific Kaiser Permanente department or service, please refer to this contact list for the Washington region.

Provider Information | National Contracting (2024)
Top Articles
Latest Posts
Article information

Author: Kerri Lueilwitz

Last Updated:

Views: 6199

Rating: 4.7 / 5 (47 voted)

Reviews: 86% of readers found this page helpful

Author information

Name: Kerri Lueilwitz

Birthday: 1992-10-31

Address: Suite 878 3699 Chantelle Roads, Colebury, NC 68599

Phone: +6111989609516

Job: Chief Farming Manager

Hobby: Mycology, Stone skipping, Dowsing, Whittling, Taxidermy, Sand art, Roller skating

Introduction: My name is Kerri Lueilwitz, I am a courageous, gentle, quaint, thankful, outstanding, brave, vast person who loves writing and wants to share my knowledge and understanding with you.