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Regional Provider Relations Key Contacts

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

California – Northern

For assistance in Northern California assistance, please contact the help desk at  800-464-4000 (toll free), Monday through Friday, 8:00 a.m. to 5:00 p.m. Pacific Time. Choose Option 2 for provider support or Option 4 for Member Services.

Please refer to Section 2: Key Contacts of the Northern California Provider Manual for HMO members* for useful contact information.

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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.

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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 contact Provider Relations at (303) 344-7943 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.

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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.*

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Hawaii

Provider Contracting and Relations
Provider demographic updates, tax ID change, address change, adding additional providers, termination of providers, contract questions, contract rate payment questions, Affiliate Practitioner Manual and general assistance.

Phone: 808-432-5658
Fax: 808-432-5667

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

Customer Service
Services include but not limited to general enrollment questions, eligibility and benefit verification, copay, deductible, and coinsurance information, etc.

Oahu: 808-432-5955
Neighbor Islands: 1-800-966-5955

Claims Administration
For claim questions, please contact Claims Customer Service at 1-877-875-3805 When calling, please do not select any options, stay on the line and a claims representative will assist you.

Authorization and Referral Information
If you have questions regarding the referral you have received or authorizations, please contact the Authorization and Referral Management Department
808-432-5687.

Kauai, Molokai and Lanai
Questions regarding care delivery and operational processes call the Administrator, Affiliate Provider Relations at 808-265-0979. For claims, referrals or contract questions refer to contact numbers above.

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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 reimbursement 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)

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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

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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.

     509-241-7206 or 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.*

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