Supported electronic transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
10115 - Payer ID
3781 - Payer ID
94135 - Payer ID
94135MA - Payer ID
KS003 - Payer ID
KSRNCA - Payer ID
RH009 - Also listed as Kaiser Permanente Northern California
Coverage states
California.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes weeks
Workflow considerations
- Use the 270/271 workflow before visits or when coverage needs confirmation.
- Complete payer enrollment before relying on ERA 835 for automated remittance posting.
- Without 276/277 support, track claims through the payer's approved non-EDI process.
- Route dental claims and required attachments through separate payer-approved workflows because 837D and 275 are unavailable.
- If EFT is needed, arrange payment handling outside this payer integration; ERA and EFT cannot be combined here.
Common questions
Can I submit institutional and professional claims to this payer electronically?
Yes. Institutional claims use 837I and professional claims use 837P; dental claims use 837D, which this payer does not support.
How do I receive ERA from this payer?
ERA 835 is supported only after your practice completes payer enrollment. EFT and an ERA plus EFT combined transaction are not supported.
Can I check claim status electronically with this payer?
No 276/277 claim-status transaction is available. Follow claims through another payer process instead.
Does this payer support electronic eligibility and coordination of benefits?
Yes. Eligibility and benefits use 270/271, and coordination-of-benefits support is available through 271.
Run this payer inside Hero EMR
Hero EMR submits claims, checks eligibility, and posts remittances automatically for the payers it connects to. The first physician is free.
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