Kaiser Permanente

Eligibility and benefits

Resolve eligibility and benefit questions after checking the payer portal. A benefit quote does not guarantee payment.

eligibility benefits

Northern California - KP Member Services Contact Center (eligibility, cost share, claim status; IVR 24/7)

Official page read
Phone888-576-6789Published hours

Weekdays 8am-5pm PT; IVR 24/7

Product, plan and location

commercial · medicare advantage · medicaid · exchange
California

Mailing address

Not researched for this route

From NCAL HMO Provider Manual 2026, Section 2 Key Contacts.

View source ↗ · Source checked 2026-10-21

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

eligibility benefits

Southern California - Member Service Contact Center (benefits and eligibility; HMO/DHMO/Senior Advantage)

Official page read
Phone800-464-4000Published hours

Not published in this record

Product, plan and location

commercial · medicare advantage · medicaid · exchange
California

Mailing address

Not researched for this route

SCAL provider reference guide rev. 07-24 (2025 file). Same number is KP California member services.

View source ↗ · Source checked 2026-10-21

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

eligibility benefits

Northwest - Member services (eligibility and benefit verification)

Official page read
Phone800-813-2000Published email

NW-Provider-Relations@kp.org

Published hours

8am-6pm

Product, plan and location

commercial · medicare advantage · medicaid · exchange
Oregon · Washington

Mailing address

Not researched for this route

Local 503-813-2000. Provider relations by email.

View source ↗ · Source checked 2026-10-21

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Help the next office

How did your call go?

Share a structured call experience or flag a contact correction. Submissions are reviewed before publication. Patient details, recordings and documents do not belong here.

Share a call experience

Share a call experience

Suggest a contact correction

Suggest a correction

Call preparation · editorial guide

Make the call count.

Resolve eligibility and benefit questions after checking the payer portal. A benefit quote does not guarantee payment.

Have ready in your secure workspace

  • Member and subscriber details from the card
  • Proposed service dates and procedure codes
  • Provider location and network information

Questions to resolve

  • Is coverage active for this date and service?
  • Do limits, referrals, authorizations or other coverage affect this request?
  • What source and reference support the benefit quote?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

For healthcare offices

Found the contact. Still need to make the call?

Explore how DialClerk organizes the brief, hold time and staff handoff for your next administrative call.

For the people making the calls

Put payer follow-up
on your office’s worklist.

Explore DialClerk for queued calls, hold handling, staff handoffs and a record of the next step. Tell us how your team works.

A request does not create an account or start a call. Use business contact information only. No patient information.

See how it could work for your practice