Provider Manual Index

The Provider Manual is not intended for any use by any party other than as a resource for Kaiser Foundation Health Plan of Washington's contracted providers in fulfilling their obligations under provider contracts. Kaiser Permanente intends for the manual to be accurate for its intended purpose but doesn't guarantee accuracy. Providers should comply with the terms of their provider contracts and any legal requirements in the event of an inconsistency between the manual and a requirement in their provider contracts or the law.

Billing and Claims

Claims Procedures

Electronic Transactions
Payment Policy
Processing Claims
Multiple or Kaiser Permanente Health Plans
Claims for Accidents and Injuries
Member Cost Shares
Government Programs

Codes and Standards

General Codes and Standards
Behavioral Health
National Provider Identifier
Home Birth
Government Programs

Referrals and Clinical Review

Prior Authorization

Review Process

Appeals

Coverage and Eligibility

Kaiser Permanente Plans

Government Health Plans

Medicare
Medicaid

Patient Care

Behavioral Health Services

Overview and Obtaining Services
Network Care Coordination Program
Administrative Expectations
Practitioner Skills
Clinical Necessity and Coverage

Care Management

Care Professionals
Hospital Care
Continuing Care
Pharmacy

Clinical Guidelines

Home Birth

Interpretive Services

Member Rights

Basic Rights
Medical Records Access

Specialty and Wellness Services

Working With Kaiser Permanente

Medical Records

Credentialing

Provider Responsiblities

About Kaiser Permanente

Member Communication