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Provider Network Management and Business Affairs
http://www.providers.kaiserpermanente.org/nw/index.html
Are you currently using OneHealthPort? If so, you have access
to our provider portal! Community Provider Connect (CPC), Kaiser Permanente’s provider portal, is accessible
through OneHealthPort. With your OneHealthport access you can simply click the Kaiser
Permanente Oregon and Southwest Washington logo for CPC access.
OneHealthPort Website
OneHealthPort Contact Support: 1(800) 973-4797
Do you need access to Online Affiliate Link to view medical records?
Please visit our Community Provider Portal below and follow the 5-step registration instructions. For
non-licensed users’ non-clinical access is available. For licensed providers clinical access is available. Please keep in mind all five steps must
be completed in order to obtain access.
Community Provider Portal: http://www.providers.kaiserpermanente.org/nw/
Link to 5-Step Registration Instructions Attachment
Provider Relations Newsletter
November 2019
Please Share Your Feedback Please follow the below link to take a short survey to share your feedback about this newsletter. Your feedback is greatly appreciated and the most valuable resource for future editions. If there is something you are interested in seeing in the newsletter or need more information on, this is your time to share!
November Provider Newsletter Survey
Contents
OneHealthPort/Community Provider
Connect…1
Online Affiliate Link…1
Provider Relations Newsletter
Survey…1
Kaiser Portal Differences…2
Contact for Help with Portals…2
Provider Demographics Update…3
Key Contacts…3
Provider Network Management and Business Affairs
http://www.providers.kaiserpermanente.org/nw/index.html
Which Provider Portal Do I Use? Looking for benefits/eligibility, claim status, provider appeal/disputes, specialty pre-authorization
requests? Use Community Provider Connect (CPC) via OneHealthPort.
OneHealthPort/Community Provider Connect Confirm Member Eligibility (For all members except self-funded) Confirm Member Benefits Review Claim Status Online Appeal Submission Specialist & DME Referral Request Access to Cost Estimator
Looking for benefits/eligibility, member accumulators, claim status, authorization status, PCP pre-
authorization requests, medical records? Use Online Affiliate Link via direct connection.
Online Affiliate Link Confirm Member Eligibility (for all members except self-funded) Confirm Member Benefits Review Member Accumulators Review Claim Status Confirm Authorizations PCP Authorizations Request Clinical Access for Licensed providers only Non-Clinical access for non-licensed providers
Who Do I Contact for Help?
OneHealthPort: Help Desk: 1(800) 973-4797 Those logging into the portal using OneHealthPort, please reference the following information when requesting help: Organization: OneHealthPort Corporate ID: DP270916 First Name: Oregon OneHealthPort Last Name: DutyPager
Community Provider Connect (CPC):
Provider Relations Team Email: [email protected] Contracted Provider Relations Representatives Lonnie Hosley:503-813-3376 Beckie Crocker: 503-813-3118 Molly Phillips: 503-813-4511
Online Affiliate Link
Help Desk: If you need assistance with KP HealthConnect Online-Affiliate, please contact the helpdesk at 1-844-563-4357 (toll free), Monday through Friday, 8am to 5pm Pacific Time. Option 1 for HealthConnect support.
Provider Network Management and Business Affairs
http://www.providers.kaiserpermanente.org/nw/index.html
Important Message From the Provider
Demographics Team
Our Provider Demographic team will begin quarterly requests for updated demographics necessary for
claims adjudication, patient referrals, provider directories, and regulatory reporting over the next few
weeks.
We have made improvements to our processes that allows us to make the updates received from you
even quicker. Previously you received two documents to review, one for your company information and one for your practitioner roster. This data has now been incorporated into to one spreadsheet. The steps to complete the updates have changed, please see below link for new instructions. Please be sure to
review your data and make any needed updates per the instructions.
Link to Instructions for Provider Data Updates Attachment
We realize you have many competing demands for your time; we appreciate your assistance and timely
response.
If you have any questions about how to complete the spreadsheet per the instructions, please contact the
Provider Demographic team using the contact information below.
Contact Information:
Fax: 1-855-406-0429
Mail: Provider Contracting and Relations- Provider Demographics
Kaiser Permanente 500 NE Multnomah, Ste 100
Portland, OR 97232-2099
.
Key Provider Contacts
Provider Inquiry/Claims Line
Phone: 503-735-2727 or 1-866-441-1221
Fax: 1-866-518-3437
Northwest Member Services Call Center
Phone: 503-813-2000 or 1-800-813-2000
Regional Member Services Call Centers
Self-Funded Customer Service
Phone: 1-866-441-1221
Regional Referral Center
Phone: 503-813-4560
EDI Billing Support
Email: [email protected]
NW Provider Contracting and Relations
Email: [email protected]
Contracted Provider Representatives: Lonnie Hosley: 503-813-3376 Beckie Crocker: 503-813-3118 Molly Phillips: 503-813-4511
Online Affiliate Link—First Time Sign On and Registration 12-04–12 Care Delivery Informatics and Support Page 1 of 6
Online Affiliate Link—First Time Sign On and Registration
Introduction
Intended for affiliate providers.
This job aid shows the steps to register for and sign on to the Online Affiliate Link through the Community Provider Portal.
New Registration
1. On the Community Provider Portal Northwest Region home page, click First time sign-on.
2. Click register to access.
1. Click First time sign-on.
2. Click register to access.
Online Affiliate Link—First Time Sign On and Registration 12-04–12 Care Delivery Informatics and Support Page 2 of 6
3. Fill out all of the information.
4. Click Register account.
Note: When your registration is processed, you will receive an email containing your Online Affiliate User ID.
Sign On and Set Security Questions
1. Type the user ID (from the email) and password (that you created on your registration form).
2. Click Sign on.
3. Fill out information.
1. Type your user ID and password.
2. Click Sign on.
4. Click Register account.
Online Affiliate Link—First Time Sign On and Registration 12-04–12 Care Delivery Informatics and Support Page 3 of 6
3. In the list provided, select five security questions and provide answers.
4. Click Submit.
Identity Verification
1. When you receive your confirmation, click the Online Verification link.
2. Click Begin verification.
3. Select five security questions.
4. Click Submit.
1. Click Online Verification.
2. Click Begin verification.
Online Affiliate Link—First Time Sign On and Registration 12-04–12 Care Delivery Informatics and Support Page 4 of 6
3. Answer the questions, and then click Submit through all verification windows. A confirmation window appears.
Add Provider Association
1. When your verification is complete, you can add your provider associations. To add your provider associations, click the Add Providers link.
2 Click the Help with provider associations? link.
3. Click Submit.
2. Click Help with provider associations?
1. Click Add Providers.
Online Affiliate Link—First Time Sign On and Registration 12-04–12 Care Delivery Informatics and Support Page 5 of 6
3. Read the instructions carefully before you add your association.
4. Enter your provider type, provider name, and other information based on the instructions.
5. Click Submit.
Note: Your provider association will be reviewed by Kaiser Permanente and you will be notified by email. You must obtain this approval before you go to the next step.
Request Access
1 When you receive your confirmation email, sign on to the Online Affiliate using the user ID you were assigned and the password you created earlier in this process.
Note: As an Online Affiliate provider, you are acknowledging agreement to access only those patient records to which you have a professional business or clinical need. This ensures compliance with Kaiser Permanente’s policy on “Minimum Necessary”. The policy establishes a processes to limit uses, disclosures, and requests for PHI to what is necessary for the intended purpose(s) of the use, disclosure or request. Kaiser Permanente will periodically monitor and/or audit patient records that are accessed by Online Affiliate providers.
3. Read the instructions
carefully.
4. Fill out the fields.
5. Click Submit.
Online Affiliate Link—First Time Sign On and Registration 12-04–12 Care Delivery Informatics and Support Page 6 of 6
2. Click the Request access to KP HealthConnect Online-Affiliate button.
3. Fill in your job title and job role, and then in the Provider(s) field, select the provider or provider groups.
Note: To select more than one item from the list, hold down your shift key while you click the items.
4. Click Submit.
Note: You will be notified by email when your access and your set up is complete.
2. Click the Request access to KP HealthConnect Online-Affiliate button.
4. Click Submit.
3. Fill in fields and select the
provider or group.
INSTRUCTIONS FOR PROVIDER DATA UPDATESKaiser Permanente appreciates your timely responses to requests for updated data. We are making improvements to our processes that will allow us to make the updates received from you even quicker. Instead of reviewing two separate documents, both the company information and practitioner roster are now incorporated into one spreadsheet. As with any new process, the steps to complete the updates have changed. Please take a moment to review these instructions and examples.
General Instructions:− Please do not make changes to column headings.− Do not add columns. Please use the comments column for any additional information.− Return company/practitioner file even if there were no changes made.− Return the file with the same file name as received.− Please specify an Action as you make updates.
Company Information Tab Instructions:Use this tab to provide information on service locations and general company information.
− Confirm the service location address(es) are correct.− Confirm the mailing address is correct.− Confirm the payment address is correct.− Confirm the 1099 address is correct. If there is an update to the TIN or 1099 mailing address, you will
need to complete and attach a new W-9 form.− Indicate one of the following actions in the “Action” column for each row:
K = Keep – no updates required for this row.A = Add this service location; please indicate the open date in column B.R = Remove this service location; please indicate closed date in column B.C = Change made on this row (e.g., phone number updated, address updated, NPI corrected, etc.)
Practitioner Information Tab Instructions:Use this tab to provide practitioner information and the location where they provide services.
− Indicate left date in column B if a practitioner is no longer with your company.− Is the practitioner reflected at the correct location?− Is the “Accepts New Patients” column correct?− Indicate any notes in the “Comments” field.− Action Column - Indicate one of the following actions for each line on your roster:
K = Keep – no updates are requiredA = Add a practitioner to this service locationR = Remove an existing practitioner from this service locationC = Changes made to this lineI = Inactivate, Practitioner has left the practice (Indicate left date in column B).
If needed, see specific examples on next page.
EXAMPLES OF COMMON UPDATES
No changes to the information in this row.1. Select practitioner row.2. Indicate Action = K; no updates are required.
Action Left Date KP Internal ID Service Location Name Service Location Address Service Location Address Line 2 City State Zip Code Practitioner Legal Last Name Practitioner Legal First Name Middle Initial Licensure CredentialsK 1234 Sample Company location Oregon City 6271 15th St Ste 101 Oregon City OR 970450081 Elliott Samuel C LCSW
Adding a new practitioner to your company.1. Enter practitioner information on a blank row. (Tip: Copy a current row and then paste to a new row and then edit
for new information.)2. Be sure to include the DOB, SSN, NPI, Taxonomy and practitioner email address for new practitioners only.3. Indicate Action = A; and provide the practitioner’s start date with the company in column B.
Action Left or Start Date Service Location Name Service Location Address Service Location Address Line 2 City State Zip Code Practitioner Legal Last Name Practitioner Legal First Name Middle Initial Licensure CredentialsA Sample Company - McMinnville 201 SW 3rd St McMinnville OR 971285597 Powers Elizabeth A LMFT
Adding an existing practitioner to a different service location.1. Insert a blank row at the service location you’d like to add the practitioner to and enter practitioner information
including start date in column B. (Tip: Copy a current row and then paste to a new row and then edit for new information.)
2. Indicate Action = A; and provide the practitioner’s start date at this service location in column B.Action Left or Start Date Service Location Name Service Location Address Service Location Address Line 2 City State Zip Code Practitioner Legal Last Name Practitioner Legal First Name Middle Initial Licensure Credentials Gender Specialty Practitioner Email Address SSN DOBA Sample Company - McMinnville 201 SW 3rd St McMinnville OR 971285597 Powers Elizabeth A LMFT F Mental Health [email protected] xxx-xx-xxxx xx/xx/xxxx
Removing a practitioner from a service location.1. Select the practitioner you wish to remove from a specific location.2. Indicate Action = R; and provide the date the practitioner left the service location in column B.
Action Left or Start Date Service Location Name Service Location Address Service Location Address Line 2 City State Zip Code Practitioner Legal Last Name Practitioner Legal First Name Middle Initial Licensure CredentialsR Sample Company - McMinnville 201 SW 3rd St McMinnville OR 971285597 Jones Joanie E MSW
Inactivating a practitioner from your company.1. Select practitioner from the roster you wish to inactivate.2. Indicate Action = I; and provide the date the practitioner left the company in column B.
Action Left or Start Date Service Location Name Service Location Address Service Location Address Line 2 City State Zip Code Practitioner Legal Last Name Practitioner Legal First Name Middle Initial Licensure CredentialsI 8/1/2019 Sample Company location Oregon6 271 15th St Ste 101 Oregon City OR 970450081 Smith Mary W LPC
Adding a new service location to your practice and adding practitioners at this location.1. Go to the Company Information tab and enter service location information on a blank row.2. Indicate Action = A; and provide the service location’s open date in column B.
Action Left or Start Date Service Location Service Location Address Service Location Address Line 2 Service Location Address Line 3 Service Location City Service Location State Service Location Zip Code Service Location Phone NumberA XX-XX-XXXX 28335 Sample Company - McMinnville 5200 NE Park Avenue Hillsboro OR 971247564
3. Go to the Practitioner Information tab and insert a blank row with the new service location information and thepractitioner information. Repeat for each practitioner that will be providing services at this location.
4. Indicate Action = A; and provide the practitioner’s start date at this service location in column B.Action Left or Start Date Service Location Name Service Location Address Service Location Address Line 2 City State Zip Code Practitioner Legal Last Name Practitioner Legal First Name Middle Initial Licensure CredentialsA Sample Company - McMinnville 5200 NE Park Avenue Hillsboro OR 971247564 Powers Elizabeth A LMFT
Changes need to be made to information in this row.1. Select the practitioner row & type over any information that needs to be corrected (e.g., phone number updated,
address updated, NPI corrected, Medicare number added, email address updated, etc.).2. Indicate Action = C.
Action Left Date KP Internal ID Service Location Name Service Location Address Service Location Address Line 2 City State Zip Code Practitioner Legal Last Name Practitioner Legal First Name Middle Initial Licensure CredentialsC 1234 Sample Company location Oregon City 6271 15th St Ste 101 Oregon City OR 970450081 Carter Angela S LCSW