• jbiedajr6

Working with Kaiser as your Insurance Part 2 of 3

So, you have determined you need therapy, and gone to kaiser, they have referred you to their groups for depression and anxiety, and then switched you to a in house therapist who saw you for 4 sessions then scheduled you once a month. This is not enough

Having realized you need more therapy than Kaiser seems to want to give, look at the diagnosis that kaiser gave you by requesting your records. They will email them to you. Verify if you have been given a Parity diagnosis, and if so, this is the key to getting further treatment. If not, does what you need help with relate to trauma, is it impacting your ability to work or participate in school. How is functionally affecting your life. Knowing these things will help to demonstrate the need for you to go outside of the Kaiser internal system.

There are two types of therapists’ referrals, those to the Beacon Healthcare system which refers to the therapists who have contracted with Beacon, and therapists Affiliated with Kaiser, contracted directly with Kaiser.

I will not be addressing the Beacon contracted clinicians, as I am not a Beacon contracted provider. I can however address the affiliates. As an affiliate, we give kaiser direct access to our schedules to be able to fill openings in our schedules. This gives Kaiser immediate access to appointments as soon as they are available.

To get a referral to a kaiser affiliate, we recommend you set up an appointment a week in advance with a kaiser affiliate and ask them to put a Hold on their tridiuum account with your name in it Ask them for their NPI number at this time. You will need to give the clinician your kaiser number, date of birth and full name. they can use this information to hold the appointment for you.

Next contact the kaiser referral department at (844)359-5661 and let them know that you have an appointment with a Kaiser affiliate. Let them know the NPI number of the therapists, and the date and time of the appointment held in Tridiuum. If you know your diagnosis and it’s a Parity diagnosis, let them know this as well. If you have gone through the group treatments and it has not been successful let them know this. If you have seen a kaiser therapists and it was not frequent enough to be helpful, put that out there as well. Basically, give them as much evidence as possible that you meet criteria for weekly therapy.

Kaiser will then set up an appointment with an intake specialist, have them meet with you, then refer you to groups, and an affiliate.

If your affiliate works for my group, the clinician will be notified by kaiser that you have an appointment, and they will contact you by phone to confirm it. You will receive a link to the client portal and confirmation of your appointment. Fill out your paperwork and a link will be sent by your clinician at the time of you tele-therapy session.

This description is specific to our practice. However, if you are setting up an appointment with a kaiser affiliate therapist the steps are the same. Some therapists do not use client portals to o paperwork and some therapists are seeing people face to face. The clinician you see will determine differences in procedure.

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