Utilization Management

The Utilization Management (UM) Department ensures appropriate use of resources by evaluating and determining coverage for medical care services for members and providers.

To receive information about the UM process or the status of authorizations and referrals, call Member Services at 1.888.421.8444 (toll-free), Monday through Friday, 9:00 am – 5:00 pm PST.  

Language services are available at any time, for the hearing and speech impaired, call the California Relay Service (CSR) by simply dialing 711 or the 800 CRS number of your modality. All calls received after business hours, on weekends, and on holidays will be returned on the next business day.