Clearinghouse/direct connections for electronic data exchange

Kaiser Permanente Washington utilizes business-to-business electronic data interchange (EDI) to facilitate our claims processing, patient billing, and care management systems.

EDI exchanges include both ASC X12 formatted transactions and some non-X12 data exchanges. The X12 formatted transactions may be exchanged using a direct connection with Kaiser Permanente or an Affiliated clearinghouse (PDF).

A direct connection is available if you can answer Yes to all three of these questions:

• Are you submitting more than 250 electronic claims per month?
• Do you have the ability to process HIPAA-compliant X12 electronic transactions?
• Can you submit secure file transfers (secure channel or encryption such as PGP or Gnu PG)?

EDI exchanges available

To initiate or update an EDI exchange, submit a completed EDI trading partner setup request form (Word).

Questions about our EDI exchanges may be e-mailed to ITEISSupportDL@kp.org or contact the Provider Assistance Unit toll-free at 1-888-767-4670.