Authorizations & clinical review overview

Prior authorization requirements vary by health plan. Review Services must preauthorize 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.

Secure business tools

Referral Request Padlock
New requests for specialists, facilities, or equipment.

Procedure Notification Padlock
Update a referral request with details about a planned procedure.