Summary
Kaiser Foundation Health Plan Georgia is a regional health plan, part of Kaiser Foundation Health Plan, offering dental, medical, and vision coverage operating in 9 states. Claims route under payer ID 21313, with 7 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Kaiser Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
21313Also seen as 100186, 10238, 21313MA, GAKAIS, KSPGA, NG010 and 1 more- Also known as
- Kaiser Health Plan Incorporated Georgia Region, Kaiser Permanente Georgia
- Uses CAQH
- YesApplication route: Payer portal application
- Service area
- CA, CO, GA, HI, MD, OR, VA, WA, DC
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Kaiser Foundation Health Plan Georgia?
- The payer ID for Kaiser Foundation Health Plan Georgia is 21313. Alternate IDs seen across clearinghouses include 100186, 10238, 21313MA, GAKAIS.
- How long does Kaiser Foundation Health Plan Georgia provider enrollment take?
- Kaiser Foundation Health Plan Georgia provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does Kaiser Foundation Health Plan Georgia require CAQH?
- Yes. Kaiser Foundation Health Plan Georgia uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- Does Kaiser Foundation Health Plan Georgia require ERA enrollment?
- Yes. Kaiser Foundation Health Plan Georgia requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Kaiser Foundation Health Plan Georgia cover?
- Kaiser Foundation Health Plan Georgia operates in CA, CO, GA, HI, MD, OR, VA, WA, DC. Coverage can differ by plan and product line, so confirm the specific plan before you file.
Related payers
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.