Transcription of 5. Billing and Payment - info.kaiserpermanente.org
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5. Billing and Payment - info.kaiserpermanente.org
5. Billing and Payment It is your responsibility to submit itemized claims for Services provided to Members in a complete and timely manner in accordance with your Agreement, this Provider Manual and applicable law. For Self-Funded products, KPIC utilizes a TPA to process claims. The TPA s claim processing operation is supported by a set of policies and procedures which directs the appropriate handling and reimbursement of claims received. The Member's Plan Sponsor is responsible for Payment of claims in accordance with your Agreement. Please note that this Provider Manual does not address submission of claims under the HMO.
Section 5: Billing and Payment 5.3.3 Submission of Multiple Page Claim (CMS-1500 Form and UB-04 Form) If you must use a second claim form due to space constraints, the second form should clearly indicate that it is a continuation of the first claim. The multiple pages should be attached to each other.
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