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Important:
National Claims Administration Change Healthcare Claims Processing FAQ
Welcome to the Community Provider Portal!
Northern California
Announcements
- For alternative EDI solution options, please see our Claims page section, which includes the different EDI Clearinghouses Kaiser Permanente connects with and special solutions available from Office Ally for FREE bulk and individual claim submissions to KP.
- Member eligibility can be viewed through one of our self-service tools. Sign-On or Register to access KP Online Affiliate, or view member eligibility as a guest user.
- Claims status can only be obtained through one of our self-service tools. Sign-On or Register to access KP Online Affiliate, or view claim status as a guest user.
- Please note that Self-Funded member claims may not be available in this self-service tool. If your inquiry is about a Self-Funded member claim, please sign on to the Self-Funded plans online tool.
- You may now submit online disputes, appeals, supplemental claim attachments or request for information (RFI) via Online Affiliate. Learn more about our new Claim submission tools and partnership.
- For any changes related to your organization, group, or practice (e.g., to add, delete, or update locations, billing information, participating practitioners), please download and complete the Provider Profile Information Form (PPIF) and email to TPMG-MSC-ProvSvcs@kp.org or fax to (510) 987-4138.
Kaiser Permanente members may access your account to message your doctor, fill prescriptions, and view your medical record by visiting kp.org.
