Authorizations & clinical review overview
Prior authorization requirements vary by health plan. Review Services must pre-authorize coverage for care provided by contracted consulting specialists for most of our plans.
Find information regarding prior authorization, and the processes for reviews, reconsiderations, and appeals below.
*Plans following maintenance of benefits rules may require authorization, even if the Kaiser Permanente plan is not primary.
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New requests for specialists, facilities, or equipment.
Update a referral request with details about a planned procedure.