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Kaiser Foundation Health Plan Northern California

Kaiser Foundation Health Plan Northern California

This page contains information you can use to exchange healthcare transactions with Kaiser Foundation Health Plan Northern California using Stedi.
Use any of the following payer IDs to send transactions to Kaiser Foundation Health Plan Northern California using Stedi APIs or SFTP. Read the docs
Primary Payer ID
KSRCN
Stedi Payer ID
RNMGY
Payer ID aliases
10115, 10239, 3781, 94135, 94135MA, KS003, KSRCN, KSRNCA, RH009
Parent group
Kaiser Foundation Group
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with Kaiser Foundation Health Plan Northern California using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Kaiser Foundation Health Plan Northern California.
Supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Kaiser Foundation Health Plan Northern California to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Not supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to Kaiser Foundation Health Plan Northern California in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Kaiser Foundation Health Plan Northern California and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Kaiser Foundation Health Plan Northern California and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Kaiser Foundation Health Plan Northern California to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Kaiser Foundation Health Plan Northern California and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Kaiser Foundation Health Plan Northern California.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Kaiser Foundation Health Plan Northern California and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Kaiser Foundation Health Plan Northern California today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • Kaiser Permanente Northern California
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