how to report a kaiser patient for using a non physical address

•In person: Fill out a Complaint or Benefit Claim/Request form at a member services office located at a Plan Facility (go to your provider directory at kp.org/facilitiesfor addresses) •Online:Use the online form on our website at kp.org Please call our Member Service Contact Center if you need help submitting a grievance.

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Is my medical information with Kaiser Permanente safe and secure?

We take the trust you put in Kaiser Permanente seriously and continue to do all we can to keep your medical health information private, protected, and secure. If you believe that the privacy of your medical record may have been compromised, please contact Member Services.

How do I file a complaint with Kaiser Permanente?

All members have the right to file a compliment or complaint with Kaiser Permanente. Please ensure members who have concerns know how to contact a representative at the Kaiser Permanente Customer Service Center. They may call  (301) 468-6000; or  1-800-777-7902, toll-free outside the Washington metro calling area; or  (301) 879- 6380, TTY.

What is the new visitor policy for Kaiser Permanente medical centers?

In order to do this, we have implemented a new visitor policy at our medical centers and we kindly ask that you follow these guidelines for visiting a Kaiser Permanente medical center: Updated our visitor policy – No visitors or additional family members are allowed at this time.

Do I have a legal right to Kaiser medical records?

It is established in law that you have a legal right to Kaiser medical records (or your own medical records from any facility that you use) under something known as the HIPAA Access to Health Information. This law does a few important things that you should know about including:

How do I fight Kaiser Permanente?

If you prefer, you may file a grievance online at kaiserpermanente.org, in person at your local Member Service office, or by phone by calling 1-800-464-4000.

Can I call Kaiser on behalf of someone else?

Sign on to your kp.org account and choose the feature you want to use such as Email My Doctor. You'll see a shaded section that asks if you are acting on behalf of someone else. Choose the person for whom you are acting. You are now their “delegate.”

What is Kaiser's Believe me policy?

Kaiser: Kaiser has a "Believe Me" policy which allows for members to obtain the services they need from their effective date onwards even if coverage cannot be verified or the enrollment has not yet entered the Kaiser system. Any co-payments or charges would be billed according to plan.

Is Kaiser a patient centered medical home?

Most of Kaiser Permanente's Northern California primary care outpatient medical offices have maintained their recognition as a Patient-Centered Medical Home since 2014 through NCQA's renewal recognition program.

Does Kaiser allow parents as dependents?

You may have the opportunity to enroll your parents, stepparents, parents-in-law, or parents of your domestic partner in Kaiser Permanente medical coverage.

Can I add my husband to my kp.org account?

Caregiver Access for your care You can add your spouse, friend, parent, or any other adult as your caregiver. If the person is a Kaiser Permanente member, you'll need their user ID, full name and birth date.

Can I use Kaiser Norcal in Socal?

If you're enrolled in one of these plans in either the Northern California or Southern California region, you may receive visiting member services in the other California region. When you visit any Kaiser Permanente region, your coverage is the same as it is in your home region. The 90-day limit does not apply.

Does Kaiser allow second opinions?

Receive a second opinion from an appropriately qualified medical practitioner. If you want a second opinion, you can either ask your Plan physician to help you arrange for one, or you can make an appointment with another Plan physician.

How do I advocate for myself at Kaiser?

How can you become an active patient?Ask questions. It may help to write down your questions before your doctor visit. ... Bring a support person. ... Help your doctor. ... Use your whole team. ... Be part of each decision. ... Make a plan. ... Look for websites you can trust. ... Ask your doctors.

Is Kaiser Permanente an ACO?

Kaiser Permanente and ACOs Kaiser Permanente is a clear example of the clinical structure and coordination that underpin the ACO concept, such as: Providing quality, patient-centered health care across the care continuum.

Who owns Kaiser Permanente?

Ownership: Kaiser Permanente is a privately held, notfor-profit organization. Principal Subsidiary Companies: Kaiser Permanente is an organization of three business segments that are linked by exclusive contracts: Kaiser Foundation Health Plans, Inc.; Kaiser Foundation Hospitals; and Permanente Medical Groups.

How does Kaiser make money?

Every month, the Health Plan prepays the Medical Group a set dollar amount for each member enrolled. This payment method is called “capitation.” The Medical Group receives this payment for each enrolled member whether or not the member seeks or receives services during that month.

Where to contact Kaiser Permanente Civil Rights Coordinator?

You may also contact the Kaiser Permanente Civil Rights Coordinator directly at: Northern California.

What is Kaiser Permanente's goal?

Kaiser Permanente’s goal is to provide the highest possible member satisfaction. Each physician, employee, and volunteer is responsible for creating an outstanding care experience for every member, every time. This includes responding to any concerns or dissatisfaction that you might have. Our highest priority is to resolve every concern or dissatisfaction wherever you receive care. Please ask to speak to the manager of the department if you have a question, concern, or are dissatisfied regarding the care or service you received. If you prefer to request a service, voice an issue or complaint, or file a benefit claim, you may file it with the Health Plan using the form provided here.

What is the phone number for a grievance?

You may also request these materials in large text or in other formats to accommodate your needs at no cost to you. For more information, call . 1-800-464-4000( TTY 711). A grievance is any expression of dissatisfaction expressed by you or your authorized representative through the grievance process.

What is the California Department of Managed Health Care?

The California Department of Managed Health Care is responsible for regulating health care service

Where to file a civil rights complaint?

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at ocrportal.hhs.gov/ocr/portal/lobby.jsf or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Ave. SW, Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 1-800-537-7697 (TTY). Complaint forms are available at

Is Cal-Optima available for Medi-Cal?

Not available to Medi-Cal members in Cal-Optima , Gold Coast Health Plan, and Partnership HealthPlan

What is billing for non-covered items?

Filing claims for services or medications not actually performed or obtained. Billing for non-covered items using codes for covered items. Billing for excessive or unnecessary medical services or supplies. Billing for a more costly service than the one that was actually performed. Altering billings or medical records.

How to report fraud in the US?

To report suspected fraud, contact our confidential, toll-free hotline at: 1-888-774-9100.

What are some examples of fraud in healthcare?

Examples of health care fraud and abuse 1 Filing claims for services or medications not actually performed or obtained 2 Billing for non-covered items using codes for covered items 3 Billing for excessive or unnecessary medical services or supplies 4 Billing for a more costly service than the one that was actually performed 5 Altering billings or medical records 6 Using unqualified personnel to perform treatments 7 Accepting anything in return for referring patients 8 Waiving patient co-pays or deductibles 9 Using someone else's coverage or insurance card 10 Altering amounts charged on claim forms or prescription receipts 11 Enrolling someone not eligible (for example, divorced spouse) for coverage on a health plan 12 Including false information in an application for the purpose of obtaining coverage

What does the patient propose in Kaiser's refusal to grant a member's request for medically necessary treatment?

The patient proposes that Kaiser’s refusal to grant a member’s request for medically necessary treatment, and that they are not willing to identify themselves by name, it is the patient’s opinion, that the oral review is without merit, and a member can dispute their decision for the reason in this letter.

What is a physiatrist?

THE PHYSIATRIST (a doctor who specializes in diagnosing and treating problems of the musculoskeletal system, except for those physiatrists that work for Kaiser Permanente):

What is the role of a physician?

A physician shall be dedicated to providing competent medical care, with compassion and respect for human dignity and rights.

When did Dina Padilla work at Kaiser?

Dina Padilla November 3, 2007. After working in both Kaiser hospital and clinic in Sacramento, Ca., starting in the mid 1980’s to 1993 it has certainly been never ending nightmare, listening to patients and employees who are patients, that kaiser now entering into decades of operation, gets worse by the day.

Do caregivers feel pain?

He is half right. WE — the caregivers — do feel that pain. WE are the ones who have to deal with inadequate staffing and antiquated resources. WE are the ones who have to deal with doctors who really don’t care about their job anymore because they are so determined to make as much PROFIT as possible — not health care. WE are the ones who have to learn a new computer system every time the new (NON nurse) CEO decides they know what’s best for nurses.

Does Kaiser screw up?

Any healthcare is sometimes better than none, and Kaiser doesn’t screw up every single thing . Being forced to go back after harm has been done is actually one of the most horrifying aspects of the Kaiser Victim experience, so it wouldn’t hurt you to have a little compassion. NA February 26, 2017.

What to include in a medical note?

For example, if you need a doctor’s note for missed school or work, describe your medical condition and what dates were missed. If you need a disability certification, describe your medical condition, the date the condition began, and the date of upcoming surgery (if applicable).

How to access medical records online?

How to access your health records and medical forms online at kp.org 1 Log in to kp.org. 2 Scroll down to the directory at the bottom of the page. Under Member support, click Medical Information Requests. 3 You will be directed to a page titled Records, forms and certifications. Find what you need in the list of links at the top of the page:#N#Click Medical records to request your electronic medical record.#N#Click Immunization record to view and print your current immunization status.

What is Kaiser Permanente's main goal?

At Kaiser Permanente, our main goal is to protect our members, their families, and our staff. In order to do this, we have implemented a new visitor policy at our medical centers and we kindly ask that you follow these guidelines for visiting a Kaiser Permanente medical center:

How far away from a OB/GYN appointment?

Keep a safe distance from other people (at least 6 feet away) in the waiting room and other open areas whenever possible.

Do you have to wear a mask in a medical center?

Require masks be worn at all times in our medical centers (this includes physicians, staff, patients and visitors ages 2 and up) unless asked to remove by a member of the health care team.

Reporting Concerns About Quality of Care

• If you have any concerns about your safety or quality of care, please talk about them with your health care team. If you don’t understand the answers you receive, ask for more information. If your concerns cannot be resolved with your health care team, we encourage you to report your concerns to the management team at your medical center. Find cont...

See more on healthy.kaiserpermanente.org

Reporting Concerns to The Joint Commission

Reporting A Suspected Privacy Breach

Reporting Suspected Fraud