Kaiser Permanente Claim Processing Overview

Kaiser History

In the 1950s, two separate healthcare organizations merged to form what today is known as Kaiser Permanente. Since that merger the healthcare provider has continuously grown to its current point where it includes better than eight million members throughout the Country. Although Kaiser has membership around the country, it is based out of Oakland, California and maintains an extremely high number of members in Northern California.

Since 1978, Kaiser has included a provision Most Kaiser Permanente HMO members do not know that Kaiser has established specific rules for medical claims processing. Since 1978, Kaiser Permanente has included a provision in their group policies mandating the use of a private arbitration procedure for all medical claims against Kaiser Permanente resulting from negligence, carelessness or malpractice of a health care provider.

The Office of the Independent Administrator (OIA) handles all claims made against Kaiser. The OIA has set strict time tables for resolving claims and mandates that all claims be resolved through arbitration in less than eighteen months from the date the claim is filed. To see a general timeline for Kaiser proceedings click here. To learn more about the OIA click here.

Kaiser Arbitrations And You

Most Kaiser Permanente HMO members do not know that Kaiser has established specific rules for medical claims processing. Since 1978, Kaiser Permanente has included a provision in their group policies mandating the use of a private arbitration procedure for all medical claims against Kaiser Permanente resulting from negligence, carelessness or malpractice of a health care provider. These proceedings are complex and require specialized knowledge.

To see complete Kaiser rules for Arbitration in Spanish click here

Settled over $100 million in Medical claims against Kaiser Permanente HMO since 1978

At Walkup, Melodia, Kelly & Schoenberger, in San Francisco, California, we have extensive experience representing patients in Kaiser Permanente HMO personal injury malpractice claims. We have settled over $100 million in medical claims against Kaiser Permanente HMO since 1978. We understand the intricacies of the Kaiser Permanente arbitration procedures and can ensure that you are legally protected.

The Kaiser Permanente HMO Medical Claims Arbitration Process

If you are a Kaiser Permanente  HMO member and have suffered an injury as the result of the malpractice, negligence or carelessness of one of your health care providers, contact us to schedule a free initial consultation. We do not charge a fee unless we recover financial compensation for you.

415-981-7210
1-888-732-8897
(1-888-SFATTYS)

We are on call seven days per week for your convenience.

We represent  Kaiser Permanente HMO members from the Oregon border to Los Angeles, from Napa Valley to Fresno, Sacramento, Merced, Stockton, Modesto, and in Hawaii; the counties of San Francisco, Alameda, San Mateo, Marin, Solano, Stanislaus, San Joaquin, Santa Clara, and in Honolulu.

Walkup, Melodia, Kelly & Schoenberger
650 California Street, 26th Floor
San Francisco, CA 94108-2615
Phone: 415-981-7210
Fax: 415-391-6965
www.walkuplawoffice.com
1-888-732-8897
(1-888-SFATTYS)