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Kaiser Foundation Health Plan Georgia

Part of Kaiser Permanente

Regional plandentalmedicalvision
Typical enrollment turnaround
60-90 days

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.

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSeveral 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.

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.