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Affiliated Practitioner Manual

The Kaiser Permanente Hawaii Affiliated Practitioner Manual is designed as a reference guide for you and your staff. 

The manual may be viewed by your Admissions, Quality Assurance, Business Offices and any other appropriate staff.

Should you need additional information or have any questions, please do not hesitate to contact the Provider Contracting and Relations Department at (808) 432-5429.

Provider Manual for HMO Members

The Provider Manual for HMO members may be viewed one section at a time. Click on the link below to open the PDF in a new window.

Introduction and Table of Contents*

Section 1: Kaiser Permanente Medical Care Program*

Section 2: Key Contacts*

Section 3: Eligibility and Benefits Determination*

Section 4: Member Rights and Responsibilities*

Section 5: Quest Integration*

Section 6: Provider Dispute and Appeal Process*

Section 7: Billing and Payment*

Section 8: Utilization Management/Resource Stewardship*

Section 9: Out-Of-Plan/Network Referrals*

Section 10: Emergency and Urgent Care Services*

Section 11: Authorizations and Referrals*

Section 12: Quality Program and Patient Safety Program*

Section 13: Compliance*

Section 14: Practice Guidelines – Care Management and Disease Management*

Section 15: Additional Information*

Section 16: Kauai, Molokai, and Lanai Medical Services Network*

Provider Code of Conduct

The Provider Code of Conduct* highlights some provisions in the provider agreement as well as the minimum standards by which providers are expected to conduct themselves when serving Kaiser Permanente members and patients.

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