Claims procedure

Claims information includes procedural guidelines for general claims, as well as for accidents and injury, electronic billing, EDI, and government programs.

We also provide payment policies to assist when submitting claims to Kaiser Permanente, along with information related to member cost shares.

Claims review process

For information about first-level and second-level claims review, see Post service: Claims payment review & reconsideration process.

Member forms

Encourage members to use our online claims forms, available on our secure member website.

Secure business tools

Claims Status Inquiry Padlock
Check the status of claims you've submitted in the past six months.

Eligibility Inquiry Padlock
Verify a member's coverage and benefit levels.