Authorization for Medical Care♦
The Authorization for Medical Care will be faxed and/or mailed to provider offices to notify them that a Kaiser Permanent Northwest member has been referred to them for medical care.
Eligibility Verification Form♦
The Eligibility Verification Form is a template that can be used when provider offices need to verify the eligibility of numerous Kaiser Permanente Northwest members.
Explanation of Payment (EOP)♦
The Kaiser Permanente Explanation of Payment is sent to providers to inform them of how a claim was adjudicated.
Laboratory Requisition Form♦
Please use the attached form when ordering Laboratory Services from Kaiser Permanente.
For questions regarding Laboratory Services, contact Laboratory Client Services at 503-258-6900.
Specialty Radiology Form♦ and Radiology Form♦
Please use the attached forms when ordering Radiology Services from Kaiser Permanente.
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