Member Support

For PPO Provider and Non-participating Provider health care:

For a list of PPO facilities and providers to choose from, please select from the following PPO Providers:

First Choice Health Network
(Members receive care in OR, WA, ID, MT, WY, ND, SD, and AK.)

First Health Network
(Members receive care in all states EXCEPT OR, WA, ID, MT, WY, ND, SD, and AK.)

For prior authorization of medical services, please call 1-855-281-1840 (TTY 711).

To locate MedImpact pharmacies, call 1-800-788-2949 (TTY 711).

• Visit kp.org/nw/medimpact
• Mail order: Call 1-800-841-5550 (TTY 711), or sign on to www.caremark.com

For claim submission:

• To submit a medical claim for reimbursement, complete this Member Reimbursement Form and mail to:
  Kaiser Permanente National Claims Administration – Northwest
  P.O. Box 370050
  Denver, CO 80237-9998
• To submit a pharmacy claim for reimbursement, complete this Drug Reimbursement Form and mail to:
  MedImpact Healthcare Systems, Inc.
  P.O. Box 509098
  San Diego, CA 92150-9098