Kern Family Health Care (Kern Health Systems)

Kern County Medi-Cal local initiative plan (Kern Health Systems). Main plan number with a silent provider prompt; local Bakersfield number 661-632-1590. Provider Relations representatives are reached through the same toll-free line.

Kern County Medi-Cal local initiative plan (Kern Health Systems). Electronic claims via Change Healthcare, Office Ally or Cognizant (payer IDs KERNH professional, UERNH institutional). Paper only for listed exceptions; do not hand-deliver.

Kern County Medi-Cal local initiative plan (Kern Health Systems). Use the Provider Claims Dispute Resolution Request form; the plan encourages calling Claims first (provider line, dial 5 then 3).

Kern County Medi-Cal local initiative plan (Kern Health Systems). Automated eligibility verification; alternatives are the provider portal, the state AEVS, or Member Services.

Kern County Medi-Cal local initiative plan (Kern Health Systems). Submit referrals through the provider portal; fax UM only if the portal is unavailable. Call UM to request criteria or discuss a determination.

Kern County Medi-Cal local initiative plan (Kern Health Systems). Hospitals notify UM of admissions by phone (concurrent review staff) or fax with the member face sheet.

Kern County Medi-Cal local initiative plan (Kern Health Systems). Email the contract inquiry form with supporting documentation to start contracting.

Kern County Medi-Cal local initiative plan (Kern Health Systems). ePayment Center registration and questions for electronic payments.

Kern County Medi-Cal local initiative plan (Kern Health Systems). Refer members for EPSDT services by phone or fax the EPSDT referral form.

Kern Family Health Care Medicare (HMO D-SNP). Eligibility verification, KFHCM provider portal questions and case management.

Outpatient/inpatient D-SNP authorizations go through the KFHCM portal; fax UM only if the portal is unavailable.

Electronic payer ID 77039 (Office Ally, Change Healthcare, SSI) or KERNH/UERNH (Cognizant). Paper only for invoice pricing, requested documentation or CCS denials. ZIP+4 is reproduced exactly as printed on the source ("93389-018"); confirm before mailing.

Submit pharmacy TARs online (preferred) or by fax; include CMS Appointment of Representative form when a pharmacy submits.