Coverage profile
Work Kaiser Foundation Health Plan Northern California across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Kaiser Foundation Health Plan Northern California.
Other aliases
Also known as
- 100177
- 10115
- 3781
- 94135
- 94135MA
- KS003
- KSRCN
- KSRNCA
- RH009
- Kaiser Permanente Northern California
- KAISER - NORTHERN CALIFORNIA
Payer intelligence
Observed adjudication timing
How long completed claims in Substrate’s aggregate network took from payer receipt to the 835 payment date.
Median time to payment
4 days- 10% of adjudications by
- 2 days
- 90% of adjudications by
- 14 days
- Applicable state coverage
- CA
- Current As Of
- July 2026
Five-month median trend
Days to 835 paymentView chart data as a table
| Service month | Median | 10% of adjudications by | 90% of adjudications by | Completed claims | Coverage |
|---|---|---|---|---|---|
| Apr | No qualified data | ||||
| May | 6 days | 2 days | 14 days | 210 | CA |
| Jun | 4 days | 2 days | 9 days | 241 | CA |
| Jul | 4 days | 2 days | 14 days | 234 | CA |
| Aug | No qualified data | ||||
2027 maternity billing research
When does Kaiser Foundation Health Plan Northern California change OB/GYN billing?
No public 2027 maternity billing start date found. Use the applicable Northern California provider agreement/manual and authorization until Kaiser posts claim-level maternity instructions.
- Transition start
- Not published
- Billing start
- Not published
- Published
- Not stated in source
- Current As Of
- August 2026
Scope: Northern California provider manual; exact region/product must be verified
2026 Northern California HMO Provider Manual. Verify the payer source before claim submission.
Frequently asked questions
Kaiser Foundation Health Plan Northern California payer FAQs
What is the payer ID for Kaiser Foundation Health Plan Northern California?
The primary payer ID for Kaiser Foundation Health Plan Northern California is KSRCN. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for Kaiser Foundation Health Plan Northern California?
The 837P and 837I payer ID for Kaiser Foundation Health Plan Northern California is KSRCN via Stedi.
What is the 835 payer ID for Kaiser Foundation Health Plan Northern California?
The 835 payer ID for Kaiser Foundation Health Plan Northern California is KSRCN via Stedi.
What is the 270 payer ID for Kaiser Foundation Health Plan Northern California?
The 270 payer IDs for Kaiser Foundation Health Plan Northern California are KSRCN via Stedi and KSRCN via Availity.
What state does Kaiser Foundation Health Plan Northern California operate in?
Kaiser Foundation Health Plan Northern California operates in CA.
Routing reference
Kaiser Foundation Health Plan Northern California payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Kaiser Foundation Health Plan Northern CaliforniaSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | CASource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | KSRCNSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | KSRCNSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | KSRCNEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | KSRCNSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | KSRCNSource: Availity payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Kaiser Foundation Health Plan Northern California. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: KAISER PERMANENTE NORTHERN CALIFORNIA. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Payer contact directory
Kaiser Foundation Health Plan Northern California phone and fax numbers
Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.
- Other stated context phone
- (614) 212-7005SELF-FUNDED/KPIC
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(614) 212-7005 | Other stated contextBenefit context: Inactive |
| Health Benefit Plan Coverage |
| phone(626) 381-3142 | Other stated contextBenefit context: Active Coverage; Benefit context: Inactive |
| Health Benefit Plan Coverage |
Phone and fax numbers sourced directly from the payer response
