Kaiser Permanente Medicare Advantage
Medicare AdvantageAlso covers: Kaiser Permanente, Kaiser, KP Senior Advantage
Payer ID
Varies — confirm via portal / clearinghouse
Payer ID varies by Kaiser region (N/S CA, CO, GA, HI, Mid-Atlantic, NW, WA). Kaiser is largely a closed integrated system; out-of-network/contracted claims routing varies by region.
Timely Filing Limit (TFL)
Per provider contract / regional rules; verify against the applicable Kaiser region
Appeal Window
Medicare Advantage appeals follow CMS Part C rules (commonly 60 days from the denial/organization determination)
Clearinghouse
Varies — confirm via portal / clearinghouse
Provider Services
Varies — confirm via portal / clearinghouse
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://healthy.kaiserpermanente.org/
Kaiser offers Senior Advantage Medicare plans through its regional integrated systems. Payer IDs and processes differ by region.
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
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