Corrected Claim Submissions

5. Billing and Payment - Kaiser Permanente

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. Enter the TOTAL CHARGE ONLY on the last page of your claim

  Claim, Kaiser, Kaiser permanente, Permanente