Choice Products Northwest

Prior Authorization

To ensure that the medical service ordered is medically necessary, Prior Authorization may be required. This is known as Prior Authorization for services ordered by a PPO Provider, or Non-participating Provider.

What requires Prior Authorization?

  • For PPO Providers and Non-participating Providers, some services, such as inpatient care (for example, hospital surgical procedures) and some outpatient procedures, require prior authorization to be covered.
  • For care with Kaiser Permanente providers, your provider will arrange for prior authorization, if required, for certain services.

How do I receive Prior Authorization?

  • To obtain Prior Authorization or for questions about medical necessity requirements, please call Kaiser Permanente’s Resource Stewardship Department at 1-855-281-1840 (TTY 711).
  • Your Non-participating Provider may obtain Prior Authorization for you or your authorized representative by calling 1-855-281-1840 (TTY 711).
  • If you don’t obtain Prior Authorization for services with Non-participating Providers you may have to pay the entire expense.
  • To learn more, review the Prior Authorization section in your Evidence of Coverage (EOC) for details.

Need Prior Authorization or have questions about it?
Call 1-855-281-1840 (TTY 711).