Contact us

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)

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.
 

Email Provider.Demographics@kp.org for questions about the following:

• Provider addition and termination requests
• Provider status update requests
• Provider demographic changes (i.e., name, practice locations, phone number, fax number, specialty update, etc.)

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