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Payer Directory

How to check Kalos Health eligibility

A portal or phone check takes a front-desk staffer 10–15 minutes per patient. Kalos Health has no eligibility API — so instead of your staff doing that, our screen agent runs the portal check for you, on your schedule.

Payer ID 40137Screen agent · setup required

Three ways to verify Kalos Health coverage

  1. Payer portal — free, but one patient at a time and 10–15 minutes each with logins.
  2. Phone (IVR) — hold times vary; no written record for the chart.
  3. Automated 270/271 check — full benefit detail in seconds, batched for the whole schedule, from $0.50 per check.

Kalos Health at a glance

What billers need before running a check.

Payer ID
40137
Also known as 7720, 9665
Real-time eligibility
Via screen agent
Kalos Health has no eligibility API, so our screen agent runs the portal check for you on your schedule. Setup required.
Coverage
medical
Operating area
Not published
Payer website
www.kaloshealth.org

Supported transactions

What can be exchanged electronically with Kalos Health today.

TransactionStatus
Eligibility (270/271)
Real-time benefit and coverage checks
NOT AVAILABLE
Claim status (276/277)
Where a submitted claim stands
NOT AVAILABLE
Professional claims (837P)
Physician and outpatient claims
SUPPORTED
Institutional claims (837I)
Facility claims
SUPPORTED
Dental claims (837D)
Dental claims
NOT AVAILABLE
Remittance (835 ERA)
Electronic remittance advice
ENROLLMENT REQUIRED
Coordination of benefits
Secondary-payer routing
NOT AVAILABLE
Claim attachments (275)
Supporting documentation
NOT AVAILABLE

Portal vs. phone vs. automated

The same verification, three ways.

Payer portalPhone / IVRAutomated check
Time per patient10–15 min15–30 minSeconds
Cost per check~$7.97 staff time*~$7.97+ staff time*from $0.50
Record for the chartScreenshotNoneFull audit trail
Whole-day scheduleOne at a timeOne at a timeBatched overnight

*CAQH Index benchmark for a manual eligibility verification.

Frequently asked questions

What is the payer ID for Kalos Health?+
Kalos Health uses payer ID 40137. It also appears as 7720, 9665 in some systems.
Does Kalos Health support real-time eligibility verification?+
Kalos Health has no eligibility API, so there is no 270/271 transaction to send. Checks still run automatically: our screen agent performs the portal check for you on your schedule, rather than a staff member doing it per patient. Setup is required. Claims can be submitted electronically.
How long does a Kalos Health eligibility check take?+
A portal check takes 10–15 minutes of staff time per patient. A screen agent runs the same check without occupying anyone — scheduled ahead of the day's appointments, so results are waiting rather than being fetched one patient at a time.

Run your first Kalos Health eligibility check

From $0.50 per check, pay-as-you-go. No contract, no implementation project.

Billing more than Kalos Health? — upload it and see which of your payers run automatically.

65%
fewer denials at Valley Diabetes & Obesity
90%
of eligibility checks fully automated
$107–149K
annual savings, small specialty practice
24 mo
in production