Kaiser Foundation Health Plan Northwest
Kaiser Foundation Health Plan Northwest is a regional health plan operating in Oregon and Washington. For an ASC, what matters isn't the logo. It's how Kaiser Foundation Health Plan Northwest pays: where it runs rich, where it runs thin, and how its reimbursement compares with peer plans for the same procedures.
Pilot Analysis
Get the complete Kaiser Foundation Health Plan Northwest analysis
Tell us where to send it. Our team will prepare an analysis of Kaiser Foundation Health Plan Northwest covering rates by code, market position, and underpaid areas, and email it to you within 5-10 business days. Need it faster? Book a demo.
What Insights reveals
How Kaiser Foundation Health Plan Northwest pays
See how Kaiser Foundation Health Plan Northwest reimburses across procedures and markets, benchmarked against the peer plans competing for the same cases. Not a raw rate sheet, a read on where it sits.
Geographic footprint
Kaiser Foundation Health Plan Northwest's presence spans Oregon and Washington. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Kaiser Foundation Health Plan Northwest and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Kaiser Foundation Health Plan Northwest's volume, so you know where a rate change moves the needle.
Whether you're an ASC benchmarking a contract or a provider team looking Kaiser Foundation Health Plan Northwest up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Kaiser Foundation Health Plan Northwest
- Payer ID
- 100178 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Kaiser Foundation Health Plan Northwest through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Kaiser Foundation Health Plan Northwest members are verified before the date of service, through a clearinghouse using payer ID 100178or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Kaiser Foundation Health Plan Northwest directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Kaiser Foundation Health Plan Northwest the way it pays.
- What is Kaiser Foundation Health Plan Northwest's payer ID?
- Kaiser Foundation Health Plan Northwest's electronic payer ID is 100178. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Kaiser Foundation Health Plan Northwest through a clearinghouse.
- How do ASCs verify eligibility for Kaiser Foundation Health Plan Northwest members?
- Eligibility and benefits for Kaiser Foundation Health Plan Northwest members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 100178) or through the payer's provider portal.
- Does Kaiser Foundation Health Plan Northwest require prior authorization for ASC procedures?
- Prior-authorization requirements for Kaiser Foundation Health Plan Northwest are set per plan and per procedure. Confirm whether an authorization is required with Kaiser Foundation Health Plan Northwest directly before the date of service.
- What type of payer is Kaiser Foundation Health Plan Northwest?
- Kaiser Foundation Health Plan Northwest is a regional health plan operating in Oregon and Washington.
- How does Kaiser Foundation Health Plan Northwest compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Kaiser Foundation Health Plan Northwest pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Kaiser Foundation Health Plan Northwest paying my ASC below market?
- Put your own Kaiser Foundation Health Plan Northwest contract next to the peer benchmark in DataLily AI and you'll see the gap by procedure and market, the fastest way to know whether you're leaving money on the table.