Summary
Kaiser Foundation Health Plan Mid-Atlantic 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 KSRA, 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
KSRAAlso seen as 100181, 10113, 52095, 52095MA, KSFMA, NG008 and 1 more- Also known as
- Kaiser Foundation Health Plan of the Mid-Atlantic States
- 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 Mid-Atlantic?
- The payer ID for Kaiser Foundation Health Plan Mid-Atlantic is KSRA. Alternate IDs seen across clearinghouses include 100181, 10113, 52095, 52095MA.
- How long does Kaiser Foundation Health Plan Mid-Atlantic provider enrollment take?
- Kaiser Foundation Health Plan Mid-Atlantic 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 Mid-Atlantic require CAQH?
- Yes. Kaiser Foundation Health Plan Mid-Atlantic uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- Does Kaiser Foundation Health Plan Mid-Atlantic require ERA enrollment?
- Yes. Kaiser Foundation Health Plan Mid-Atlantic requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Kaiser Foundation Health Plan Mid-Atlantic cover?
- Kaiser Foundation Health Plan Mid-Atlantic 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.