Kaiser Foundation Health Plan Washington

Summary

Kaiser Foundation Health Plan Washington 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 91051, with 5 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, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID

91051Also seen as 10608, 6511, 8405, 91051MA, GRPNW

Also known as

Kaiser Foundation Health Plan Washington Options, Kaiser Permanente of Washington (KPWA)

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.

Common questions

What is the payer ID for Kaiser Foundation Health Plan Washington?

The payer ID for Kaiser Foundation Health Plan Washington is 91051. Alternate IDs seen across clearinghouses include 10608, 6511, 8405, 91051MA.

How long does Kaiser Foundation Health Plan Washington provider enrollment take?

Kaiser Foundation Health Plan Washington 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 Washington require CAQH?

Yes. Kaiser Foundation Health Plan Washington uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does Kaiser Foundation Health Plan Washington require ERA enrollment?

Yes. Kaiser Foundation Health Plan Washington requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.

What states does Kaiser Foundation Health Plan Washington cover?

Kaiser Foundation Health Plan Washington 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.

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