How to Resolve a Medical with Kaiser Permanente
Before contacting anyone, be ready to provide:
- Kaiser Member Number
- Claim Reference Number or
- Date of Service and Provider
To Resolve a Claims Issue
Call Kaiser Customer Service toll-free:
- For medical or prescription claims, call Kaiser at (866) 223-2375.
- For vision claims, call VSP Vision at (800) 877-7195.
- For dental claims, call Delta Dental at (866) 923-0410 or Willamette Dental at (855) 433-6825.
If Not Resolved…
- Administrative employees may contact the 4J Employee Benefits Manager at (541) 790-7675.
- Classified employees may contact the Classified Benefits Coordinator at (541) 790-7679.
- Licensed employees may contact the Licensed Staff Benefits Coordinator at (541) 790-7682.
If Not Resolved…
You may appeal claim decisions through a formal process with the carrier. Details on the appeal process can be found found here: https://my.kp.org/oebb/plan-details/oregon-washington-actives/
You may also file a complaint with or seek other assistance from the Oregon Department of Consumer and Business Services, Consumer Protection Section, at (888) 877-4894.