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 KSRCNReal-time 270/271Commercial✓ Response verified July 2026

Three ways to verify Kaiser Permanente Northern California coverage

Payer portal — free, but one patient at a time and 10–15 minutes each with logins.
Phone (IVR) — hold times vary; no written record for the chart.
Automated 270/271 check — full benefit detail in seconds, batched for the whole schedule, from $0.50 per check.

Kaiser Permanente Northern California at a glance

What billers need before running a check.

Payer ID

KSRCN

Also known as 10115, 3781, 94135, 94135MA

Real-time eligibility

Available

Responses return in 1.0 seconds, 24/7.

Coverage

medical, vision

Commercial

Operating area

California

Payer website

kaiserpermanente.org

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 planACTIVE State of California group

Prior planINACTIVE Small Business group

Primary care providerNamed in the response

Cost sharing

Medical care copay$15 per visit

Remaining benefit balanceReturned per service type

Non-covered servicesLISTED Enumerated

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.

Supported transactions

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

Transaction	Status
Eligibility (270/271) Real-time benefit and coverage checks	SUPPORTED
Claim status (276/277) Where a submitted claim stands	NOT AVAILABLE
Professional claims (837P) Physician and outpatient claims	SUPPORTED
Institutional claims (837I) Facility claims	SUPPORTED
Dental claims (837D) Dental claims	NOT AVAILABLE
Remittance (835 ERA) Electronic remittance advice	ENROLLMENT REQUIRED
Coordination of benefits Secondary-payer routing	SUPPORTED
Claim attachments (275) Supporting documentation	NOT AVAILABLE

Portal vs. phone vs. automated

The same verification, three ways.

	Payer portal	Phone / IVR	Automated check
Time per patient	10–15 min	15–30 min	Seconds
Cost per check	~$6.72 staff time*	~$6.72+ staff time*	from $0.50
Record for the chart	Screenshot	None	Full audit trail
Whole-day schedule	One at a time	One at a time	Batched overnight

*CAQH Index benchmark for a manual eligibility verification.

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.