The Kaiser Permanente Affiliated Provider Manual is a guide for contracted Network Providers to use when interacting with Kaiser Permanente of Colorado and augments your Network Provider contract.
Refer to Section 4: Utilization Management of the appropriate provider manual for the for current information about our authorizations policies, process and procedures, denials, and appeals.
Fully-insured Provider Manual, Section 4: Utilization Management.
Self-funded Provider Manual, Section 4: Utilization Management.
Topics included in the Section 4: Utilization Management include:
The routine referral
Referral approval form(s)
Other products and services
Inpatient and outpatient hospitalization
Perinatal home care