How do I file a claim with Kaiser?

How do I file a claim with Kaiser?

You may deliver the form in person or by mail. If you prefer, you may file a grievance online at, in person at your local Member Service office, or by phone by calling 1-800-464-4000.

How do I get reimbursed from Kaiser?

Before you submit a claim for reimbursement, be sure to review your coverage or contact Member Services for assistance at 1-888-901-4636 (TTY 711), Monday through Friday, 8 a.m. to 5 p.m. Reimbursement requests must be received by Kaiser Permanente within 12 months from the date of service.

How do I submit a claim to medical?

  1. Provider Line: Phone 1-866-522-2736.
  2. Eligibility: Phone 1-866-522-2736.
  3. Medical Management: Phone 1-877-431-2273.
  4. Claims: Phone 1-866-522-2736.

Is it hard to sue Kaiser?

Kaiser patients cannot usually sue for medical negligence. Instead, they must go through binding arbitration. Kaiser Permanente patients wishing to bring an action against a Kaiser health care provider for medical negligence must usually go through Kaiser’s arbitration process.

Does Kaiser reimburse out of network?

Yes. You will pay your Plus Benefit cost share (copayment or coinsurance) to see your non-Plan Provider. Upon receipt of the claim for these services, Kaiser Permanente will reimburse you for your individual cost share and any billed amount up to eligible charges (allowed amount).

How do I check the status of my Kaiser claim?

If your inquiry is about a Self-Funded member claim, please sign on to the Self-Funded plans online tool*. If your inquiry is about a PPO, POS or OOA member claim, please call (800) 392-8649, Monday through Friday from 6am to 6pm.

What is member reimbursement?

In a reimbursement claim, you pay the hospitalisation expenses from your pocket, and the health insurance company later pays that amount to you provided you submit all the necessary documents. Your health insurance company can turn down your claim if your policy doesn’t cover them.

Can patients sue Kaiser?