KEY CONTACTS NORTHERN CALIFORNIA. National Provider Contracting & Network Management: Department Phone No. Fax No. TTY (510) (510)

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SECTION 4 KEY CONTACTS NORTHERN CALIFORNIA National Provider Contracting & Network Management: Provider Relations & Contracting (510) 268-5525 (510) 268-5577 Customer Service: Member Issues Member

1 SECTION 4 KEY CONTACTS NORTHERN CALIFORNIA National Provider Contracting & Network Management: Provider Relations & Contracting (510) (510) Customer Service: Member Issues Member Appeals Member Claims Inquiries (800) (800) Claims Services & Authorization Questions : Claim Submissions COB Claims Status Appeal & Dispute Questions (800) Paper Claim Submissions Northern California DME Unit Attn: Manager 1950 Franklin St., 1st Fl. Oakland, California (800) Phone Number

2 NORTHERN CALIFORNIA DME OFFICES Facility Business Hours Main Phone / Fax DIABLO VALLEY 200 Muir Road Martinez, CA Monday-Friday 8:30 a.m. 5:30 p.m. (925) (925) Fax Main # EAST BAY 301 Eigenbrodt Way Union City, CA Main # FRESNO Kaiser Permanente DME Department P.O. Box Modesto, CA GOLDEN GATE/MARIN/SONOMA DME Dept, 3rd Floor 4131 Geary Blvd. San Francisco, CA Monday-Friday 8:00 a.m. 5:30 p.m. Saturday 8:00 a.m. 5:00 p.m. 8:00 a.m. 6:00 p.m. 8:00 a.m. - 5:00 p.m. (510) (510) Fax (209) (209) Fax (415) (415) Fax Main # SACRAMENTO Kaiser Sacramento ATTN: DME Department 2025 Morse Avenue Sacramento, CA :30 a.m.- 5:00 p.m. (916) (916) Fax Main # SAN FRANCISCO DME Dept, 3rd Floor 4131 Geary Blvd. San Francisco, CA :00 a.m.- 5:00 p.m. (415) (415) Fax Main # SOUTH BAY 50 Great Oak San Jose, CA Main # REGIONAL OFFICES 1950 Franklin Street 1st Floor Oakland, CA Monday Friday 8:30 a.m.- 5:00 p.m. (408) (408) Fax

3 SOUTHERN CALIFORNIA Customer Service: Member Issues Member Appeals Claims Services & Authorization Questions : Electronic Data Interchange (EDI) Claims Submission EDI Lead COB Claims Status Member Claims Inquiries Appeals & Dispute Questions Paper Claim Submissions Kaiser Permanente Claims Administration Department PO Box 7004 Downey, CA Phone Number

4 SOUTHERN CALIFORNIA DME OFFICES KP Facility/Loc Code Business Hours Main Phone / Fax KERN COUNTY Stockdale Hwy 2nd Floor - DME Bakersfield, CA :00 a.m. - 5:00 p.m. INLAND EMPIRE (Fontana 151, Riverside 500) Palm Court II Monday Friday Slover Avenue, 8:30 a.m. 5:00 p.m. Fontana, CA Saturday/Sunday 8:30 a.m. 5:00 p.m. METRO (Sunset 018, W. LA 305) 3699 Wilshire Blvd 3rd Floor 8:30 a.m. - 5:00 p.m. Los Angeles, CA ORANGE COUNTY (Anaheim 359) 2031 Orangethorpe Ave Placentia, CA :00 a.m. - 5:00 p.m. Saturday/Sunday 8:30 a.m. - 5:00 p.m. SAN DIEGO Parkway Dr Admin Bldg La Mesa, CA :30 a.m. - 5:00 p.m. TRI-CENTRAL 073 (Baldwin Park, Bellflower, South Bay) Bellflower Blvd. Downey, CA :30 a.m. - 6:00 p.m. Saturday 8:30 a.m. - 5:00 p.m. (661) (DME Office) (661) fax (909) (DME Office) (909) fax (909) (Provider Line) KP Provider calls accepted until 6 PM (323) (DME Office) (323) fax (714) (DME Office) (714) fax (619) (DME Office) Tieline (DME Office) (619) fax (562) (DME Office) (562) fax VALLEYS 277 (Panorama City, Woodland Hills) & EXPANSION AREAS Cantara St., (818) (DME Office) 3rd Fl (818) fax Panorama City, CA REGIONAL OFFICES PHONE NUMBER 393 E. Walnut St. (626) Pasadena, CA 91188

5 GEORGIA Authorization: Quality Resource Management Dept. (404) (404) Customer Service: Member Issues (404) (404) (800) Member Appeals (888) Member Claims Inquiries Claims Services & Authorization Questions : COB (404) (404) Claims Status (800) Appeal & Dispute questions

6 MID-ATLANTIC STATES Authorizations: Provider Service Center (800) (800) Denial Reconsideration (888) Member Services: Eligibility (800) (301) Member Grievance & Appeals: Non-Medicare Plus Members (301) (800) (301) Medicare Plus Members Claims Services: (888) (301) COB Claims Status Electronic Submission (877) (800) (877)

7 COLORADO Authorizations: Provider Service Center (800) (800) Denial Reconsideration (888) Member Services: Eligibility Claims Issues Member Claims (303) (800) Or (303) Colorado Springs Member Grievance & Appeals: (719) (888) Provider Claim Appeals (303) Paper Claim Submissions Kaiser Permanente Claims P.O. Box Denver, Colorado Phone Number (303)

8 NORTHWEST Authorizations: Authorization Questions (503) Member Services: Appeals/Denials Portland Area (503) (503) (503) Continued Services /Additional Services All Other Areas (800) Claim Services: Claims Submissions COB (503) (888) (503) TPL (503) (866) Claims Inquiries Benefits/Co-Pay Info Claim Payment Inquiries Claims Status Explanation of Benefits Member Eligibility (503) (866) Workers (503) Compensation (866) TTRICARE Medicare Primary Questions regarding (503) refunds & refund (800) requests Paper Claim Submissions Kaiser Permanente Northwest (Claims Administration) 500 NE Multnomah Street, Suite 100 Phone Number (503)

9 Portland, Oregon 97232

10 HAWAII Customer Service: Member Issues (808) (877) Member Appeals (808) (808) Member Claims Inquiries Claims Services: Paper Claim Submissions Phone Number Claims Administration Department 80 Makalani Street Wailuku, Hawaii 96793

KEY CONTACTS NORTHERN CALIFORNIA. National Provider Contracting & Network Management: Department Phone No. Fax No. TTY (510) (510)

SECTION 4 KEY CONTACTS NORTHERN CALIFORNIA National Provider Contracting & Network Management: Provider Relations & Contracting (510) 268-5525 (510) 268-5577 Customer Service: Member Issues Member Appeals