Payer Directory

How to check Kaiser Permanente Northern California eligibility

A portal or phone check takes a front-desk staffer 10–15 minutes per patient. A real-time 270/271 check returns plan status, copays, deductibles, and out-of-pocket maximums in seconds.

  • Payer ID KSRCN
  • Real-time 270/271
  • Commercial
  • Response verified July 2026

Three ways to verify Kaiser Permanente Northern California coverage

  1. Payer portal — free, but one patient at a time and 10–15 minutes each with logins.
  2. Phone (IVR) — hold times vary; no written record for the chart.
The third way

Automated 270/271 check

Full benefit detail in seconds, batched for your whole schedule — not one patient at a time.

From $0.50 per check, pay-as-you-go.

Payer facts

Kaiser Permanente Northern California at a glance

What billers need before running a check.

  • Payer ID

    KSRCNAlso known as 10115, 3781, 94135, 94135MA

  • Real-time eligibility

    AvailableResponses return in 1.0 seconds, 24/7.

  • Coverage

    medical, visionCommercial

  • Operating area

    California

  • Payer website

    kaiserpermanente.org
A live check

What a live Kaiser Permanente Northern California check returns

Documented from real 271 eligibility responses. This is the actual level of detail — not a marketing summary.

Eligibility response · Kaiser Permanente Northern California (KSRCN)271 · 1.0s

Coverage

Active planACTIVEState of California group
Prior planINACTIVESmall Business group
Primary care providerNamed in the response

Cost sharing

Medical care copay$15 per visit
Remaining benefit balanceReturned per service type
Non-covered servicesLISTEDEnumerated
Sample response structure from a real-time check. Amounts and dates vary per patient; no real patient data is shown.

Why this matters: Kaiser returns both current and terminated coverage in the same response. That matters when a patient changed employers mid-year — the check shows which plan is actually active on the date of service, not just that a Kaiser record exists.

Transactions

Supported transactions

What can be exchanged electronically with Kaiser Permanente Northern California today.

  • Eligibility (270/271)

    SUPPORTEDReal-time benefit and coverage checks

  • Claim status (276/277)

    NOT AVAILABLEWhere a submitted claim stands

  • Professional claims (837P)

    SUPPORTEDPhysician and outpatient claims

  • Institutional claims (837I)

    SUPPORTEDFacility claims

  • Dental claims (837D)

    NOT AVAILABLEDental claims

  • Remittance (835 ERA)

    ENROLLMENT REQUIREDElectronic remittance advice

  • Coordination of benefits

    SUPPORTEDSecondary-payer routing

  • Claim attachments (275)

    NOT AVAILABLESupporting documentation
Compare

Portal vs. phone vs. automated

The same verification, three ways.

MeasurePayer portalPhone / IVRAutomated check
Time per patient10–15 min15–30 minSeconds
Cost per checkStaff time, one login per patient~$8.57 in staff time*from $0.50
Record for the chartScreenshotNoneFull audit trail
Whole-day scheduleOne at a timeOne at a timeBatched overnight

*A manual eligibility check costs a medical practice $8.57; an electronic one costs $2.00. Source: 2024 CAQH Index.

In production

What Medman does in practices today

  • 65%

    fewer denials at Valley Diabetes & Obesity

  • 90%

    of eligibility checks fully automated

  • $107–149K

    annual savings, small specialty practice

  • 24 mo

    in production

Questions

Frequently asked questions

What is the payer ID for Kaiser Permanente Northern California?

Kaiser Permanente Northern California uses payer ID KSRCN. It also appears as 10115, 3781, 94135, 94135MA in some systems.

Does Kaiser Permanente Northern California support real-time eligibility verification?

Yes. Kaiser Permanente Northern California accepts real-time 270/271 eligibility transactions, so a check returns plan status and benefit detail in seconds instead of the 10–15 minutes a portal login takes.

How long does a Kaiser Permanente Northern California eligibility check take?

A portal check takes 10–15 minutes of staff time per patient. An automated real-time check returns in seconds and can run for an entire day's schedule overnight.

Can a Kaiser eligibility check show terminated coverage?

Yes. Kaiser responses list inactive plans alongside the active one, so you can see that a prior group plan ended and which coverage applies on the date of service.

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Run your first Kaiser Permanente Northern California eligibility check

From $0.50 per check, pay-as-you-go. No annual contract, no implementation project.

How the eligibility agent worksSee pricing

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