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Kaiser Foundation Health Plan of Washington Kaiser Foundation Health Plan of Washington Options, Inc.MANIPULATIVE SERVICES AT MODIFIER REQUIREMENT Applies to: Commercial HMO, POS, PPO, Medicare Advantage

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How to fill out kaiser permanente washington pre-authorization

01

To fill out Kaiser Permanente Washington pre-authorization, follow these steps:

02

Obtain the pre-authorization form from the Kaiser Permanente Washington website or by contacting their customer service.

03

Fill in your personal information, including your name, address, and contact details.

04

Provide your Kaiser Permanente Washington member ID number and group number.

05

Specify the type of service or procedure that requires pre-authorization.

06

Attach any supporting documentation, such as medical records or test results, to support your request.

07

Provide detailed information about the healthcare provider who will be performing the service or procedure.

08

Include any relevant dates, such as the proposed date of the service or procedure.

09

Sign and date the pre-authorization form.

10

Submit the completed form by mail, fax, or through the online portal as specified by Kaiser Permanente Washington.

11

Wait for the response from Kaiser Permanente Washington regarding the pre-authorization request.

Who needs kaiser permanente washington pre-authorization?

01

Anyone who is a member of Kaiser Permanente Washington and requires a healthcare service or procedure that requires pre-authorization needs to fill out the pre-authorization form.

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What is kaiser permanente washington pre-authorization?

Kaiser Permanente Washington pre-authorization is a process required to obtain approval from Kaiser Permanente for certain medical services or procedures before they are performed, ensuring that they are medically necessary and covered by insurance.

Who is required to file kaiser permanente washington pre-authorization?

Healthcare providers and specialists are typically required to file Kaiser Permanente Washington pre-authorization requests on behalf of patients for specific services and procedures.

How to fill out kaiser permanente washington pre-authorization?

To fill out Kaiser Permanente Washington pre-authorization, healthcare providers must complete a pre-authorization request form, including patient information, details of the service or procedure, diagnosis codes, and rationale for the request.

What is the purpose of kaiser permanente washington pre-authorization?

The purpose of Kaiser Permanente Washington pre-authorization is to ensure that proposed medical services are necessary, appropriate, and covered by the patient's health insurance plan, helping to manage costs and ensure patient safety.

What information must be reported on kaiser permanente washington pre-authorization?

The information that must be reported on Kaiser Permanente Washington pre-authorization includes patient demographics, service or procedure requested, diagnosis codes, the medical necessity of the service, and any supporting documentation.

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