Online Provider Tools

Online Affiliate and Claims Guest Access

Online Affiliate is Kaiser Permanente’s self-service portal available to external providers. It allows providers access to several time-saving features, such as:

• Patient eligibility, benefits, and demographics
• View and print EOP’s (Explanation of Payments)
• View Kaiser electronic medical records (contracted groups and licensed clinical staff)
• Check the status of submitted claims and view claim details (service date, billed amount, allowed amount, patient responsibility)
• Confirm payment information (check number, payment date, amount)
  

Perform the following "Take Action" on a claim

• Submit a claim inquiry related to 'denied', or 'in progress' claims
• Submit an inquiry related to a check payment, request a copy of a check or report a change of address for a specific claim.
• Submit appeals or disputes - request a reconsideration of a payment
• Respond to KP request for information
  

Video overview of KP Online Tools
 

Claims Guest Access

Kaiser Permanente also allows providers to view basic claim status using our Claims Guest Access portal.

With Guest User Claim Status access, you will be asked to provide key information about a claim in question. In return, you will be able to view the following basic claim status information: current processing status, and, if paid, the vendor and specific payment information.

If your claim is not found in the Guest User system, please register for Online Affiliate to access our more robust claims portal.

Learn more about our Claims Guest Access portal

Video overview of Claims Status as a Guest User
 

Contact Information

Contact your regional representative if you have questions about KP Online Affiliate.

Please select your applicable region from the following list to learn more about gaining access to Online Affiliate and the guest access feature:

California – Northern
California – Southern
Colorado
Georgia
Hawaii
Mid-Atlantic States
Northwest