Provider Insider September 2017

In This IssueClaims Info QuickProvider Manual UpdatesProvider HighlightYour Voice Matters!Service Area NewsResources for You

In the SpotlightNeed Claims Info Quick? Just Click!

Now that you can view claims online with Affiliate Link,there’s no need to pick up the phone to find claimsinformation. Simply log in to Affiliate Link to view claims bymember, provider, claims status, and denial reasons. AffiliateLink is convenient and offers so many time-saving features.And, check out the Claims Training Guide on the CommunityProvider Portal for tips and tricks to get you started. If you’renot signed up on Affiliate Link, register today atproviders.kaiserpermanente.org/cod or contact yourProvider Representative at 1-866-866-3951.

News You Can Use

Provider Manual Updates Coming Soon

Do you have a question about referrals, benefits, or billingand payment? The Kaiser Permanente Colorado ProviderManual provides the answers to these questions, and more.We’re committed to providing our network providers withuseful information to access the Kaiser Permanente systemand share our expectations of contracted network providers.Check the Community Provider Portal in early October for anupdated manual.

Resources for You

Questions? Call your ProviderRepresentative at 1-866-866-3951, Mondaythrough Friday, 8 a.m. to 5 p.m.

Community Provider Portal

The Community Provider Portal isyour online tool kit to findinformation about claims,referrals, billing, confirm patientbenefits and enrollment, and somuch more! Changes are comingsoon to claims online and providerdata submissions, so be sure tobookmark this site and visit regularlyfor updates.

Suggestions for ProviderInsider?

What topics interest you? We want tomake sure Provider Insider is a greatresource for our providers. Pleasesend any suggestions to: CO-ProviderCommunications@kp.org.We appreciate your thoughts!

Updated Customer ServiceNumber for PPO and POSPlans

Does your patient ‒ or staff ‒ havequestions about Kaiser PermanenteInsurance Company (KPIC) PPO orPoint of Service (POS) plans?Please note the recently updatedKPIC Customer Service phonenumber: call 1-855-364-3184 (TTY 711), Monday through Friday, 8 a.m. to 6 p.m. Customer Service isavailable to assist members andproviders with questions about

Provider Highlight – Karrie Keen, Billing Managerat Button Family Practice

Button Family Practice is one of the larger primary caregroups in Cañon City, also providing care for those insurrounding areas. Additionally, it is a draw station locationfor Quest Labs, providing a convenient lab option for KaiserPermanente members in the area. Karrie Keen is the BillingManager and has worked for the practice for five years. Theclinic sees approximately 110 patients per day and offersextended hours and Saturday care. “The Button family has ahuge heart and they’re passionate about the community andour patients. The patient is always number one, withwhatever they need,” says Karrie.

Q: Tell us about your experience with Affiliate Link. A: I think it helps our clinic better serve our patients withKaiser Permanente plans. It’s easy to navigate and helpsespecially with deductible plans. It’s so helpful to have thatinformation to have conversations with the patient. I can letthem know exactly what their deductible is, year-to-datespending, and out of pocket costs. I can provide the answers,right there.

Q: Can you tell us other ways you use Affiliate Link? A: We use Affiliate Link to verify insurance beforeappointments and for our billing team to review delinquentclaims. I can see claims outstanding by patient, makingmonthly reconciliation a much easier process.

Your Voice Matters – We Want to Hear From You!

The last week of October we will email you a short providersurvey – the goal is to help us better understand what we

claims, benefits, ID cards,deductibles, service issues, andmore.

Lunch n Learns

There are only a few Lunch n Learnsremaining in 2017, so don’t miss out.Lunch is on us! You’ll join othernetwork providers, practiceadministrators, billers, referralspecialists, and front line staff foreducation on a wide range of topicsto help make your work with KaiserPermanente easy and convenient.Find all the details about upcomingLunch n Learns in Northern andSouthern Colorado on theCommunity Provider Portal. Spaceis limited, so register soon. We hopeto see you there.

can improve upon to better serve you, and what we’re doingwell. For completing the survey, you’ll be entered into adrawing for one of three $50 Visa gift cards!

If you receive the Industry Insider newsletter, you are thecontact we have on file. If someone else or others shouldreceive the survey, please let us know by contacting yourProvider Representative at 1-866-866-3951. Thank you inadvance for your participation in this survey.

Authorizations Update for Low-Dose ComputedTomography (LDCT)

Unfortunately, due to technical difficulties we have beenunable to remove the authorization requirement for low-dosecomputed tomography (LDCT). We are working through theprocess to have the authorization requirement removed;however, until further notice, we require authorization for thisscreening. We apologize for any confusion and appreciateyour patience.

Service Area News

Denver/Boulder – Urgent Care Options Expand

Our members in the Denver/Boulder area now have evenmore urgent care options available to them with the additionof urgent care on weekday evenings and weekends at ourLakewood, Lone Tree, Westminster, and East DenverMedical Offices. Members can find more information onurgent care locations at kp.org/getcare, or call our advicenurses anytime, day or night, at 303-338-4545 (TTY 711).

Mountain Colorado – Medical Office Hours Update

The Edwards and Frisco Medical Offices hours havechanged to Monday, Tuesday, Thursday, and Friday, 8:30a.m. to 5:30 p.m., and Wednesday 10 a.m. to 7 p.m.Members can call to make an appointment – same-day careis often available – or receive urgent care at these locationsduring normal business hours. For appointments, membersmay call 1-800-218-1059 (TTY 711), anytime, day or night.

Northern Colorado – Welcome New Pediatricians toGreeley Medical Offices

Greeley Medical Offices is pleased to welcome Emily Moser,MD and Katherine Rittner, MD to care for our youngestmembers. Appointments are now available; call

1-800-218-1059 (TTY 711), anytime, day or night, orschedule online at kp.org/appointments.

Southern Colorado – Extended Hours at Parkside

Parkside Medical Offices in Colorado Springs offersextended hours for family medicine and pediatric care onTuesdays and Thursdays, 5:30 to 7:30 p.m. Appointmentsare now available and recommended. To schedule anappointment, members may call 1-800-218-1059 (TTY 711),anytime, day or night, or schedule online atkp.org/appointments.

Send requests to receive newsletters, questions, andfeedback to: CO-ProviderCommunications@kp.org

For more information visit: providers.kaiserpermanente.org/cod/

or call: 1-866-866-3951