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Claims

Electronic Claims Submissions (EDI), Payments (EFT), and Remits (ERA)

Understand the benefits of Electronic Data Interchange (EDI) for transferring date form one computer system to another without human intervention

Claims and appeals procedures for HMO members

Learn about claims and appeals procedures for HMO members.

Claims and appeals procedures for Self-funded members

Learn about claims and appeals procedures for Self-funded members.

KP ClaimsConnect – Information

Learn about KP ClaimsConnect, the claims processing system.

View claim status as a guest user

Contracted and non-contracted providers can view their claim status as a guest user without registering. You will be asked to provide key information about a claim in question. In return, you will be able to view claim status information, including the current processing status, and, if paid, the vendor and specific payment information. If your claim is not found in the Guest User system, call the phone number listed on the member’s ID card.