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News and announcements

Provider Contracting’s New Fax Number: 855-324-5362

Kaiser Permanente Introduces New 2018 Explanation of Payment (EOP) - Frequently Asked Questions
Kaiser Permanente Moves to New EFT/ERA Enrollment Vendor What You Need to Know to Continue Your EFT Enrollment
Introducing the Kaiser Permanente Digital Membership Card
Kaiser Permanente Laboratory Criteria for Reflex Testing
Kaiser Permanete announces New Home Based Palliative Care Program
Synagis Therapy at Kaiser Permanente
National Provider Identifies (NPI) requirements
Ambulatory Detox Program at Glenlake Medical Center

Kaiser Permanente Introduces New 2018 Explanation of Payment (EOP) - Frequently Asked Questions

Frequently Asked Questions♦  

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Kaiser Permanente Laboratory Criteria for Reflex Testing

Download a list of testing provided by the Kaiser Permanente Laboratories♦   that will reflex to additional testing as indicated based on the listed criteria. These criteria are established and approved to provide clinically necessary follow up testing when results indicate the need to do so. Having the additional testing automatically reflex allows for more timely reporting of the additional results and avoids the possibility that the specimen for additional testing is not available.

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Kaiser Permanete announces New Home Based Palliative Care Program

Georgia Kaiser Permanente is happy to announce our new Home-Based Palliative Care program (HBPC). The program provides at-home palliative care and medical management for our members with serious, life-threatening illnesses. The program is designed for members who have considerable difficulty getting to the offices for appointments, and who would prefer to avoid the Emergency Room and further hospitalization. Learn more about the program.

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Synagis Therapy at Kaiser Permanente

Respiratory syncytial virus (RSV) is very common and can be very serious. Each year approximately 90,000 babies are hospitalized with severe RSV infections and approximately 2% of these babies die. In response to this life-threatening situation, Kaiser Permanente has developed an RSV Protection program. Learn more about the program.

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National Provider Identifies (NPI) requirements

Kaiser Permanente Georgia will not be able to process electronic claims without a National Provider Identifier (NPI) number. Please submit your NPI number to Kaiser Permanente as soon as possible. Get more information about NPI requirements♦  .

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Ambulatory Detox Program at Glenlake Medical Center

The Ambulatory Detox Program is now available at Glenlake Medical Center for members who need detoxification from alcohol, opiates and benzodiazepines, and do not require hospitalization. Learn more about the program.

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Introducing the Kaiser Permanente Digital Membership Card

In February 2015, Kaiser Permanente will roll out a Digital Membership Card a digital version of the physical membership card that will be available to Kaiser Permanente members via the KP Mobile App. Kaiser Permanente members who use the mobile app will be able to use the digital membership card for services such as checking in for appointments and prescription pick up. Members will also have the ability to email a copy of their digital membership cards to contracted network providers. The digital membership card is a service enhancement; it does not currently replace the physical card.

When a member presents with a digital membership card for service, your check-in procedure should remain the same. Remember to record the medical record number and to ask the member to show a photo ID. If your facility requires the swiping or imprinting of a physical card, the front-office staff should ask the member for their physical card. If the member does not have the physical card, the member can email their card to you, or you can verify eligibility via KP Online-Affiliate (https://providers.kp.org/ga).

KP Digital Membership Card

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Kaiser Permanente Moves to New EFT/ERA Enrollment Vendor What You Need to Know to Continue Your EFT Enrollment

As we go live on our new claims platform, Kaiser Permanente is partnering with a new vendor – CAQH – to process Electronic Fund Transfer (EFT) and Electronic Remittance Advice (ERAs) enrollments. There will also be a change regarding how to request printouts of EOPs, 835s and EFTs.

If you are currently enrolled in EFT and ERA with Kaiser Permanente Georgia, your enrollment will become void with our current vendor as of November 20, 2017. Please take the following action prior to October 15, 2017 to maintain your enrollment status:

Visit https://solutions.caqh.org for information and to create a new, secure account.

Or, speak with the CAQH EnrollHub Helpline at 1-844-815-9763.
Representatives are available 7 AM - 9 PM EST Monday - Thursday and 7 AM - 7 PM EST Friday.

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