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Clinical review
For information concerning whether a specific service or benefit is covered, please refer to your Evidence of Coverage, or call Kaiser Permanente Member Services at 303-338-4545 or toll-free at 1-800-218-1059 (TTY 711).
The document below is available to detail the review process and procedures:
- Utilization Management
- Durable Medical Equipment (DME)
- Kaiser Permanente also utilizes externally developed clinical criteria. Those documents can be reviewed on KPCO MCG Guidelines page.
- KPCO PPO Authorization/Denial Report 2024 Report