Kaiser

Specifics for sending enrollments to Kaiser

Kaiser EDI and API

Supported Functionality:

  • Member Management (EDI and API)

  • Open Enrollment & Blackout Period Support

  • Automatic Reconciliation

  • EDI Discrepancies

  • Reporting

  • Carrier Census (API)

States Supported

  • All Kaiser Service Areas/States

  • EDI is the current required mode of transmission for:

    • Kaiser Washington

  • EDI and API both support:

    • Kaiser California

    • Kaiser Mid-Atlantic (multiple states)

    • Kaiser NorthWest (multiple states)

    • Kaiser Colorado

    • Kaiser Georgia

    • Kaiser Hawaii

Group Size

  • No Minimum: Groups of 2+ accepted

Minimum Employees for Ideon to manage a Group: No Minimum (2+)

Product Lines

  • Medical

Exclusions

  • At this time, Kaiser is excluding membership from Kaiser Washington from EDI and API feeds

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