Service authorization ensures that medically necessary services are provided at the most appropriate level for the John Muir Health Physician Network HMO members. John Muir Health Physician Network makes the following affirmations regarding the utilization review process:
For questions regarding the utilization review process, policies or decisions, please call (925) 952-2887 or (844) 398-5376, TTY/TDD users may call 711.
John Muir Health Physician Network utilizes written criteria based on sound clinical evidence in the review of requests for medical services. Criteria are consistently applied to service requests based on the needs or each individual patient.
The criteria utilized in the review process of a specific request is available to providers, members, and the general public upon request. Request for criteria can be made in writing, by fax or by telephone. Please submit written requests to:
John Muir Health Physician Network
Care Management Department
1450 Treat Blvd. #300
Walnut creek, CA 94598
The numbers for telephone or fax requests are:
Telephone: (925) 952-2887 or (844) 398-5376, TTY/TDD users may call 711
Fax: (925) 952-2865