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Colorado
- Provider Demographics
- National Provider Identifier (NPI) Registry
- Clinical guidelines
- Provider manuals
- Find doctors and locations
- Become a provider
- DOI Reg. 4-2-80--Tools
- Medical Record Specifications for Faxing to KP in Southern CO
Care Coordination and Guidelines
Cigna Providers Outside a Kaiser Permanente State (Outside CA, CO, DC, GA, HI, MD, OR, VA, WA)
Provider Demographics
Please select from our recently updated templates below and send completed information to KPCO-PDM@kp.org.
Please note: CONTACT UPDATES can be made in any template below.
Use Practitioner Adds-Changes-Terms Template for:
Add new practitioner to existing location
(see Combined new Practitioner and New Office template for adding to a new location)
Change current practitioner demographics
Term practitioner from group
Use Service and Billing Office Adds-Changes-Terms Template for:
Add and/or term locations
Includes location moves and/or TIN-NPI updates
Change location details i.e. phone and fax
Change remittance address ** for noncontracted providers please see below
Use Combined New Practitioner and New Office OR Combined New Practitioner and New Office (PPO Only) for:
New Practitioners being added to new locations
New Agreements
Includes organization changes
For Voluntary Provider/Front Office Demographic Reporting Template
Voluntary Provider/Front Office Demographic Reporting Template
**For a KPCO noncontracted provider claims billing/remit address update
Please send the W9 to:
Kaiser Permanente of Colorado
Claims Administration
P.O. Box 373150
Denver, CO 80237
National Provider Identifier (NPI) Registry
» National Provider Identifier (NPI) Registry
Clinical guidelines
Clinical Library
Expand your knowledge and enhance patient care
Kaiser Permanente's Clinical Library provides clinical reference materials for providers, including: guidelines, drug information, member education, textbooks, journal references and much more. Access anywhere, anytime via the web or mobile app.
Manage your account
You will need a NUID (National User ID) to access Clinical Library. If you do not have one, use the link below to request one or to manage your account and passwords.
Have a question about signing on to Clinical Library?
Contact Jonathan Sweeney (jonathan.k.sweeney@kp.org) or 303-283-2506.
Kaiser Permanente National Clinical Guidelines
Adult Depression
Adult Diabetes
Aspirin Clinician Guide
Attention Deficit Hyperactivity Disorder - School-age children and Adolescents
Cervical Cancer Screening
COPD
Coronary Artery Disease (CAD) Secondary Prevention
Cholesterol and Cardiovascular Risk
Heart Failure Clinician Guide
Adult Blood Pressure
Lung Cancer Screening
Osteoporosis/Fracture Prevention
Prostate Cancer Screening
These guidelines are not intended to replace a clinician's judgment or to establish a protocol for all patients.
Fully-insured Provider Manual, Section 4 - Utilization Management.
Self-funded Provider Manual, Section 4 - Utilization Management.
Provider Manuals
These provider manuals are a guide for contracted Network Providers to use when interacting with Kaiser Permanente of Colorado. They are intended to augment their contract and provide explanations of how processes work within our organization.
The content of these manuals is proprietary and should not be copied or shared with persons or providers that are non-contracted with Kaiser Permanente.
KPCO Affiliated Provider Manual
The Kaiser Permanente Affiliated Provider Manual contains guidelines and useful information for the contracted Network Providers of the Colorado region.
The Kaiser Permanente Affiliated Provider Manual is a guide for contracted Network Providers to use when interacting with Kaiser Permanente of Colorado. It is intended to augment the Network Provider contract and provide explanations of how processes work, including Self Funded, within our organization.
The content of this manual is proprietary and should not be copied or shared with persons or providers that are non-contracted with Kaiser Permanente.
You may access our Provider Manual in two ways:
By mail: To request a copy of the Provider Manual via U.S. mail, please contact your Provider Representative at 1-866-866-3951.
Self Funded Information: Please contact Self Funded Customer Service at 1-866-213-3062.
Sections 1 & 2: Introduction and Key Contacts
Section 3: Member Eligibility and Benefits Determination and Product Descriptions
Section 4: Utilization Management
Section 5: Billing and Payment
Section 6: Provider Rights and Responsibilities
Section 7: Member Rights and Responsibilities
Section 8: Quality Oversite and Improvement
Section 9: Compliance
Preferred Provider Organization (PPO) Manual
Sections 1 & 2: Introduction and Key Contacts
Section 3: Member Eligibility Benefits
Section 4: Utilization Management
Section 5: Billing and Payment
Section 6: Provider Rights and Responsibilities
Section 7: Member Rights and Responsibilities
Section 8: Quality Assurance and Improvement
Section 9: Compliance
Provider Code of Conduct
The Provider Code of Conduct highlights some provisions in the provider agreement as well as the minimum standards by which providers are expected to conduct themselves when serving Kaiser Permanente members and patients.
Find doctors and locations
You can search for physicians, departments, facilities, affiliated facilities, urgent care locations, and more. Just select your area and choose the way you prefer to search.
You can also narrow your results to find exactly what you need. Get phone numbers and addresses at a glance, or visit doctor and location home pages for detailed information.
Find doctors and locations near you
Through the Participating Provider Tier, Kaiser Permanente Insurance choice products in Colorado have access to providers in the First Health Provider Network.
To learn more about the First Health Credentialing process, please refer to the Credentialing Overview Policy
You may also view a list of our clinical locations and their contact information in the Section 1 and 2 Introduction and Contacts in the appropriate manual:
Fully-insured Provider Manual, Section 1 and 2 Introduction and Contacts.
HMO Interested Participating Provider Request
Interested in joining the Kaiser Permanente network of physicians?
Please fill out and send the below information to our Interested Provider Intake box at IPPNew@kp.org.
Must open in Google Chrome or FireFox.
<<Interested Participating Provider Request Form 23.06>>
Thank you for your interest in becoming a contracted provider with Kaiser Permanente.
- Please fill out the below information. N/A any questions not applicable. If the necessary information is not received your request form will not be reviewed.
- After submitting a completed request form, a Provider Experience Consultant will have your request form reviewed.
- Status updates will be directed to the contact email address given.
- If form/application is approved to be added to the Network: A CONGRATULATIONS! Email will be sent along with the Combined New Practitioner and New Office template. To be emailed to the assigned contact. Please filled out and returned for provider demographics/contracting/credentialing processing.
- If form/application is declined: Provider/Group information will be saved on file along with an email stating reason of decline.
- You will not be able to re-apply for 365 days from date of your request below.
If you are a behavioral health provider in Colorado Springs, Pueblo, Canon City or Northern Colorado or surrounding areas and would like to join the Kaiser Permanente Colorado network, please contact Carelon Behavioral Health (formally Beacon Health Options) at 1-800-397-1630.
PPO Interested Participating Provider Request
Interested in joining the 2024 Kaiser Permanente PPO Network of Physicians?
We are currently accepting emails (only) from Providers/Groups that are interested in joining the 2024 Kaiser PPO Network of Physicians. If interested, please send an email of interest to KaiserCO-PPO@kp.org.
- Your information will be reviewed for network need by specialty/services (as needed for future state).
- Based on future service need, your information will be forwarded to the appropriate Contract Manager to outreach with additional information and or next steps, if applicable.
Please include the following information along with a contract representative (CR) or third-party entity (TPE) to handle contract negotiations, if applicable:
- Interested Provider/Group Name:
- Interested Provider/Group Tax ID:
- Interested Provider/Group NPI:
- Contact/CR/TPE Name:
- Contact/CR/TPE Email:
- Contact/CR/TPE phone number:
- Practice Specialty/Services:
Thank you for your interest in Kaiser CO-PPO Network
Email: KaiserCO-PPO@kp.org
DOI Regulation 4-2-80--Diversity and Cultural Competency Training Tools
If you have not completed your Diversity and Cultural Competency Training for this year, you can find the Kaiser Permanente Diversity, Equity, and Inclusion Tool Kit here: Diversity Equity Inclusion Toolkit
FIRST HEALTH PROVIDER NETWORK ONLY please use this template: First Health Provider Network DOI Reg 4-2-80 Responses
Once training has been completed for your group, please answer the following questions, and send to your Provider Experience Consultant.
Culturally Sensitive and Anti – Bias Questions
- Have your providers and front office staff gone through Culturally Sensitive and Anti-Bias training?
- # Of providers
- # Of providers who have completed training
- # Of Front Office Staff
- # Of Front Office Staff that have completed training
- Type of training (example developed by your organization, YouTube etc.)?
- Training provided by?
- Course duration (minutes, hours, or days)
- Date Completed
Payers will be collecting this data on a yearly basis.
If you have questions about Regulation 4-2-80, please reference link below, OR reach out to your Provider Experience Consultant (PEC) at 1-866-866-3951.
Non-Discrimination and Language Assistance Information
Non-Discrimination and Language Assistance Information
The Kaiser Permanente Principles of Responsibility (POR) is the code of conduct for KP physicians, employees and contractors working KP facilities in their daily work environment.
CPMG extends those affiliate providers that it credentials the same fair hearing rights as extended to CPMG members in the case of an adverse action for quality of care that may be reportable to the NPDB. These fair hearing rights are described herein.
Admission, Discharge, and Transfer (ADT) Notifications
Learn how providers can register to receive ADT notifications per requirements of the Centers for Medicare and Medicaid Services (CMS) Conditions of Participation.
Trauma Activation Inpatient Admissions and Pre-Payment Billing Reimbursement Changes
See link below for specific changes:
NEW reporting requirements for Kaiser Permanente patients
We need your help with our reporting requirements. If you are taking care of Kaiser Permanente patients and are aware of their deceased status, it is important you report this information back to Kaiser Permanente. You can do so by calling the Appointment and Advice Contact Center at 303-338-4545 or 1-800-218-1059, any time day or night. You may report this information to a call center agent who will chart the member's information as deceased. Thank you for your help and cooperation with this effort.
Direct Admission to Skilled Nursing Facility from Clinic in Northern/Southern Colorado Regions