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Claims

Claim Status Online

This feature will show claims that have completed processing and those that are still processing.

Claims procedures

Learn about our processes and procedures for submitting a claim, “clean claim” requirements, checking claims status, and receiving claim payment information.

Policies

Learn about our claims payment policies.

Electronic Claims Submissions (EDI), Electronic Payments (EFT), and Remits (ERA)

Understand the benefits of Electronic Data Interchange (EDI) for transfering data from one computer system to another without human intervention.

Claims appeals for providers

Find out what you need to do when you do not agree with how a claim was processed.

Member claims appeals

Review the process for when the Kaiser Permanente member needs to have a claim appealed.

Estimates

Visit Member Estimates to find out what an exam, test or procedure will cost the member.

ICD-10 information and overview

Visit Member Estimates to find out what an exam, test or procedure will cost the member.