How are claims handled for emergency services?
Under most circumstances, the member will not need to file a claim to have emergency services covered. Typically, hospitals or facilities that provide emergency services send claims directly to Kaiser Permanente. If a member receives emergency care from a provider outside of the Kaiser Permanente network, bills for emergency or urgent care should be sent to Kaiser Permanente within 60 days of the date of service. If members are traveling abroad, we must receive itemized bills in American currency and medical records translated into English. We will pay usual and customary charges for emergency services rendered to members who are injured or become ill while outside our service area.
