Provider information

The Provider Contracting and Relations Department welcomes you as a valued contracted provider with Kaiser Permanente. We are committed to fully supporting you, your medical support staff, and our members.

Our team is ready to respond to your operational inquiries, as well as provide education for Kaiser Permanente products and plans.

Note: This manual may be downloaded by section.

Sections 1 and 2: Kaiser Permanente Medical Care Program and Key Contacts

Section 3: Member Eligibility and Benefits Determination

Section 4: Utilization Management - 2025
                  Utilization Management - 2018

Section 5: Billing and Payment

Section 6: Provider Rights and Responsibilities

Section 7: Quality Assurance and Improvement (QI)

Section 8: Compliance

Section 9: Medicare Advantage

Section 10: Occupational Health Services

Section 11: Self-funded Provider Manual

Section 12: Kaiser Permanente Principles of Responsibility

Section 13: Glossary of Terms

Section 14: Medicaid Programs

Section 15: Dual Choice PPO

Provider Code of Conduct

The 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

Acute Care UM Hospital Timely Notification Policy (PDF)

As a contracted Provider for Kaiser Permanente, you are responsible for understanding and complying with terms of your Agreement and our Provider Manual. If you have any questions regarding your rights and responsibilities under the Agreement and/or the Provider Manual, we encourage you to call our Provider Relations Department at 503-813-3376 for clarification.

To find out more about your Provider Rights and Responsibilities, see Provider Manual Section 6.

Kaiser Permanente's Principles of Responsibility articulates the key values of the organization and specifies the appropriate actions in support of those values. The Principles of Responsibility serve as a guide to our daily decisions and inform our working relationships with vendors, contractors, sub-contractors, and others.

Download our Principles of Responsibility for vendors and contractors of Kaiser Permanente.

Now you can search for physicians, departments, facilities, and more, all in one place. Just select your area and choose the way you prefer to search. You can even 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.

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Credentialing

In order to ensure the quality of practitioners who treat Kaiser Permanente members, Kaiser Permanente credentials or provides oversight of the credentialing function for all practitioners. All practitioners must be fully credentialed and “approved to participate” before treating Kaiser Permanente members.

To learn more about our credentialing process, please refer to our Provider Manual Section 8.

Sentinel Events

A Sentinel Event is an unexpected occurrence involving a Kaiser Permanente member that results in death or serious physical or psychological injury, or the risk thereof, or which otherwise affects the quality of care and service, operations, assets, or reputation of Kaiser Permanente.

You are required to provide IMMEDIATE notification to Kaiser Permanente in accordance with Kaiser Permanente’s Sentinel Event Policy.

All Sentinel Event reports are considered confidential and privileged quality/peer review documents. A full copy of the policy is available through Kaiser Permanente’s Quality Resource Management Department. To request a copy, call 503-813-3810.