Summary
Kaiser Foundation Health Plan Northwest 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 100178, with 9 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, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
100178Also seen as 10114, 93079, GDSKP, KAISNW, KSRNW, NG009 and 3 more- Also known as
- Kaiser Foundation Northwest
- 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 |
| Dental claims (837D) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Kaiser Foundation Health Plan Northwest?
- The payer ID for Kaiser Foundation Health Plan Northwest is 100178. Alternate IDs seen across clearinghouses include 10114, 93079, GDSKP, KAISNW.
- How long does Kaiser Foundation Health Plan Northwest provider enrollment take?
- Kaiser Foundation Health Plan Northwest 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 Northwest require CAQH?
- Yes. Kaiser Foundation Health Plan Northwest uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- Does Kaiser Foundation Health Plan Northwest require ERA enrollment?
- Yes. Kaiser Foundation Health Plan Northwest requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Kaiser Foundation Health Plan Northwest cover?
- Kaiser Foundation Health Plan Northwest 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.