Kern Health Claims Process

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Policies and procedures Kern Family Health Care

(1 days ago) WEB6.01-P Claims Submission and Reimbursement 2023-02. 6.03-P Electronic Data Interchange (EDI) Claims Submission 2016-05. 6.04-P Provider Disputes Regarding Claims Payment 2022-02. 6.08-P Coordination of Benefits 2023-03. 6.09-P Assistant …

https://www.kernfamilyhealthcare.com/providers/policies-and-procedures/

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Electronic Claims Submission - Cloudinary

(6 days ago) WEBAny claim where contract requires invoice pricing. (Invoice must be attached) Prior KHS claim submission resulted in an EOB where KHS requested documentation to be …

https://res.cloudinary.com/dpmykpsih/image/upload/kern-site-353/media/2006/electronic-claims-submission-reminder.pdf

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Manuals and forms Kern Family Health Care

(4 days ago) WEBEDI instructions. PCP designation form (English). PCP designation form (Spanish). Report of health examination for school entry. UM prior authorization request form. Physician …

https://www.kernfamilyhealthcare.com/providers/provider-resources/manuals-and-forms/

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Electronic Claims Submission Reminder

(4 days ago) WEBThe EOB and requested information is all that should be submitted. Claims with a California Children’s Services (CCS) Notice of Action (NOA) which show CCS has denied the case …

https://res.cloudinary.com/dpmykpsih/image/upload/kern-site-353/media/641a597f18094402a1141de187ad26e3/electronic-claims-submission-reminder.pdf

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Kern Provider Portal

(3 days ago) WEBWelcome to the Kern Family Health Care Provider Portal, a unique on-line tool for accessing benefit, eligibility, and claims data. Not a Kern Family Health Care Network …

https://provider.kernfamilyhealthcare.com/v3app/publicservice/loginv1/login.aspx?bc=1215a844-d81f-4be0-ac1c-92dd137dd90c&serviceid=05411915-5bc6-4527-97a6-45b09eecbde3&em=Login%20Failed

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Kern Health Claims Process Automation with TriZetto

(2 days ago) WEBThe TriZetto NetworX Suite helps KHS automate its APM processes, making it easier to manage contracts and view the financial implications of moving from a fee-for-service contract to an APM. By leveraging …

https://www.cognizant.com/us/en/case-studies/kern-health-claims-process-automation

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KERN HEALTH SYSTEMS POLICY AND PROCEDURES

(7 days ago) WEBDirector of Claims . POLICY: Kern Health Systems (KHS) shall establish and maintain a fast, fair, and costeffective dispute - resolution mechanism to process and resolve …

https://res.cloudinary.com/dpmykpsih/image/upload/kern-site-353/media/58056f5722fd4a28a0f5878307602cc1/604-p-provider-disputes-regarding-claims-payment-2022-02-web.pdf

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AFTER FILING YOUR CLAIM CAN THE KERN COUNTY LAW The …

(2 days ago) WEBBefore you may sue Kern Medical, you must first file a claim meeting the requirements of the California Tort Claims Act (Government Code § 810-996.6). This law applies to …

https://www.kernmedical.com/documents/content/KCHA-Claim-Info-Pamphlet-English.pdf

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Contact us Kern Family Health Care

(8 days ago) WEBBakersfield, CA 93308. Map and driving directions. 661.664.5000. If you have general questions about Kern Health Systems or Kern Family Health Care, please feel free to …

https://www.kernfamilyhealthcare.com/contact-us/

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Kern Health Systems - Local Health Plans of California

(2 days ago) WEBKern Health Systems. Kern Health Systems (KHS), the Local Initiative for Medi-Cal Managed Care, is the largest health plan in Kern County. Through our Kern …

https://www.lhpc.org/member-plan/kern-health-systems

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Kern Provider Portal - Kern Family Health Care

(2 days ago) WEBKern Provider Portal. Login. UsernamePassword. Submit. Forgot your username or password? Session Logoff.

https://provider.kernfamilyhealthcare.com/

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Home: Kern Legacy Health Plans

(8 days ago) WEBFor Providers. Kern Legacy Health Plans are medical and prescription health plan options administered directly by the County of Kern offered to County of Kern employees and …

http://www.kernlegacyhp.com/

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Provider resources Kern Family Health Care

(6 days ago) WEBThe Department of Managed Health Care (DMHC) is committed to protecting health care consumers. The DMHC makes sure that health plans follow the law and remain …

https://www.kernfamilyhealthcare.com/providers/provider-resources/

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Medi-Cal Kern County, CA - Department of Human Services

(8 days ago) WEBApply Online: BenefitsCal. Obtain a Medi-Cal application from any one of the locations listed at the bottom of this page or phone the Department of Human Services at (661) 631 …

https://www.kcdhs.org/services/apply-for-benefits/medi-cal

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KERN HEALTH SYSTEMS POLICY AND PROCEDURES

(2 days ago) WEBKern Health Systems Policy 4.03-P Provider Disputes Revised 2023-01 . Policy and Procedure #6.04 – Practitioner/Provider Disputes Regarding Claims Payment. Disputes …

https://res.cloudinary.com/dpmykpsih/image/upload/kern-site-353/media/92a3fe7d573c408295762f8819cf7d3e/403-p-provider-disputes-2023-01-web.pdf

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EMS Fund - Kern County Public Health

(8 days ago) WEBYou have a record of all claims that have been submitted and processed. Administrative costs are reduced, leaving more money to reimburse you for services. Please help us to …

https://kernpublichealth.com/ems-fund/

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Payment Information Kern Family Health Care

(7 days ago) WEBNon-Contracted Provider Claim Reimbursement. Non-contracted providers are reimbursed for emergent services at Medi-Cal rates. All non-emergent services require prior …

https://www.kernfamilyhealthcare.com/providers/payment-information/

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New member information Kern Family Health Care

(5 days ago) WEBThe KFHC Member Portal makes it easy for you to view important healthcare information and change your healthcare preferences.. Through our secure portal, you'll be able to: …

https://www.kernfamilyhealthcare.com/members/member-resources/new-member-information/

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NHCX, single platform for all health insurance settlements, to be

(2 days ago) WEBThe ministry is setting up NHCX to simplify the health claim filing process. It will act as a single platform for health insurance companies, who pay and the service …

https://www.indiatvnews.com/business/news/nhcx-national-health-claim-exchange-insurance-settlement-single-platform-to-be-launched-soon-2024-05-24-933177

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Prior/Retro Authorization Requests and Claims Disputes

(1 days ago) WEBAll retro authorization requests must have the medical records attached to the request. If the retro-authorization is approved, with the approval submit your claim …

https://res.cloudinary.com/dpmykpsih/image/upload/kern-site-353/media/afdc7e84702f4e9badd50d993c426d5b/prior-retro-authorization-requests-and-claims-disputes.pdf

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