Kaiser Permanente health plans around the country. Release of Information Kaiser Permanente 10220 SE Sunnyside Road Clackamas OR 97015.
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As we focus on addressing the needs related to COVID-19 it may be necessary to close or modify hours at our Antelope Valley facilities.
Kaiser medical record number. Or call Member Services at 1-888-901-4636. Submit this request by mail or certified mail in conjunction with your verbal request. When you have completed the steps above fax all paperwork to 770 220-3705 or mail to Kaiser Permanente MRA 4000 Dekalb Technology Parkway Bldg.
503 571-5051 8 am to 430 pm Monday through Friday Toll Free. Kaiser Foundation Health Plan Inc in Northern and Southern California and Hawaii Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia Inc Nine Piedmont Center 3495 Piedmont Road NE Atlanta GA 30305 404-364-7000. For UB-04 other insurance.
If none of these documents are available to you please call our Health Information Management team at 717-531-1697 and ask them to help you determine your Medical Record Number. 3-charges should be submitted no later than 90 days from the date of service. Box 371860 Denver CO 80237-9998 List the members name and unique medical record number as it appears on the Kaiser Permanente medical ID card.
This documentation must be created and maintained for any Kaiser Permanente member who has been assessed treated or both. Third parties are charged a flat fee of 1650 for an electronic release or 1650 plus postage if paper records are requested. 3 MIN AWAY.
Your member ID number is displayed on the left side above your name. You can also request records from a specific date range imaging X-ray and radiology records or. 1 Quality Dr Vacaville CA 95688 USA.
Cost of records There is no cost to current or former members requesting their own medical records. 200 Atlanta GA 30340. Other insurance ie.
Members who select a PCP at a Kaiser Permanente facility have white ID cards. There is a different fee when records are requested by or for insurance companies and attorneys. Include the name address and contact telephone number of the patient.
Hospitals CA Kaiser Foundation Hospital Vacaville. If you need records more than 2 years old you can make a custom medical record request. 4647 Zion Ave San Diego CA 92120 USA.
Billing or delivery questions should be directed to CIOX at 1-866-420-7455. On the mobile app youll find your digital ID card on the home tab. The purpose of complete and accurate patient record documentation is to foster quality and continuity of care.
Requests to your clinical team. Review the procedures listed below to accurately and securely maintain medical records. Kaiser Helps Another Family.
A digital version of your member ID card is available on the Health Coverage card on the secure home page. Kaiser Permanente uses CIOX Health for medical record deliveries. Begin the self-enrollment process.
For CMS-1500 use boxes 9 and 11 to indicate the other health benefit plan. Monday through Friday 8 am. 2-All claims must be submitted on a CMS 1500 form for professional claims or CMS 1450 form UB-40 for a facility or hospital claims.
Prepare a medical record request on a typed sheet of paper. Members who select a PCP from the participating provider network have tan ID cards. If the patient is 18 years of age or younger include the name address and contact telephone number of the parent or guardian.
1-All claims must include the members HealthMedical Record number. Kaiser Permanente HIM 10220 SE Sunnyside Road Clackamas OR 97015. In all correspondence please include the name date of birth and health record number of the person who received care.
Intent to pay form is not required on medical record requests for continuity of care. Most features are available only to members receiving care at Kaiser Permanente medical facilities. Kaiser Permanente Medical Care.
If you have any questions please call our Release of Information office at 303-404-4700. All cards display member name and the HealthMedical Record Number which serves as a unique identification number. Kaiser Permanente Mid-Atlantic Claims Administration PO.
Hours are 8 am. Paraguya a KAISER PLANHOLDER with policy number 80880-10000-13615 a resident at 210 Almeria St Villa del Rio Bacayan Cebu City passed away last November 12 2007.