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Utilization Management Operations Center
The Utilization Management Operations Center is the Mid-Atlantic State's centralized authorizations and referrals department for Kaiser Permanente. The Utilization Management Operations Center provides comprehensive access and utilization information 24 hours a day, 7 days a week. The Utilization Management Operations Center team is responsible for providing the following services:
- referral management and pre-certification
- emergency care recordation
- in-patient care authorization
- case management and concurrent review
Contact the Utilization Management Operations Center staff at 1-800-810-4766 if you would like assistance in the following areas:
- pre-authorization (select prompt number 2)
- referrals (select prompt number 2)
- hospital admissions (select prompt number 1)
- reporting emergency room visits (select prompt number 1)
- initiating case management (select prompt number 1)
- checking member copayments or member eligibility status (select the appropriate prompt)
Provider Experience
Contact Provider Experience by email at Provider.Relations@kp.org or call 1-877-806-7470 for:
- Contracted rate payment questions
- Monthly reimbursement questions
- Billing inquiries
- Form requests
The Provider Experience department is available Monday through Friday, from 9:00 a.m. to 5:00 p.m.
Member Services
Call Member Services at 1-800-810-4766 for questions about:
- check claims status and general claims payment
- member benefits
- members needing care who don't have a Kaiser Permanente identification card
- members terminated for greater than 90 days