How to appeal a Kaiser Permanente denial

To appeal a Kaiser Permanente denial, file an internal appeal within 180 days of the date on the denial letter; Kaiser Permanente returns standard decisions in 30 days, and if it upholds the denial you can request an independent external review within 4 months. Pick your treatment below for a step-by-step guide.

Appeal guides by treatment

Each guide covers the Kaiser Permanente-specific filing window, decision timeline, common denial reasons, and how to submit your appeal.

• Kaiser Permanente glp-1 weight-loss drugs denial →
• Kaiser Permanente mental health & behavioral health denial →
• Kaiser Permanente fertility & ivf denial →
• Kaiser Permanente adult adhd medications denial →
• Kaiser Permanente specialty biologics denial →
• Kaiser Permanente cancer treatments denial →
• Kaiser Permanente ms treatments denial →
• Kaiser Permanente surgery denied as 'not medically necessary' denial →
• Kaiser Permanente out-of-network emergency denial →
• Kaiser Permanente migraine cgrp inhibitors denial →
• Kaiser Permanente pediatric therapy denial →
• Kaiser Permanente continuous glucose monitors & insulin pumps denial →
• Kaiser Permanente genetic testing denial →
• Kaiser Permanente hepatitis c cures denial →
• Kaiser Permanente sleep medicine — cpap, bipap, asv, oral appliances, inspire hns denial →
• Kaiser Permanente dme — wheelchairs, prosthetics, orthotics denial →
• Kaiser Permanente dental — medical necessity, oral surgery, tmj, cleft palate denial →
• Kaiser Permanente interventional pain — scs, rfa, esi, kyphoplasty denial →
• Kaiser Permanente substance use disorder treatment (sud/moud) denial →
• Kaiser Permanente rare disease — ert, substrate reduction, gene therapy denial →
• Kaiser Permanente hiv prep & hiv treatment denial →
• Kaiser Permanente hearing aids, cochlear implants, baha denial →
• Kaiser Permanente hemophilia & bleeding disorders denial →
• Kaiser Permanente cystic fibrosis & pulmonary fibrosis denial →
• Kaiser Permanente cardiology drugs denial →
• Kaiser Permanente cardiac devices & procedures denial →
• Kaiser Permanente neurology — alzheimer's, parkinson's, als, epilepsy denial →
• Kaiser Permanente sickle cell & thalassemia denial →
• Kaiser Permanente vision & retinal — anti-vegf, ga, gene therapy denial →
• Kaiser Permanente kidney disease — ckd, esrd, igan, adpkd denial →
• Kaiser Permanente endocrine (non-diabetes) denial →
• Kaiser Permanente liver (non-hcv) — nash/mash, pbc, aih, wilson denial →
• Kaiser Permanente women's health — menopause, endometriosis, pcos, ppd denial →
• Kaiser Permanente copd severe + alpha-1 antitrypsin deficiency denial →
• Kaiser Permanente diabetes drugs & insulin denial →
• Kaiser Permanente asthma & severe allergies denial →
• Kaiser Permanente orthopedics & sports medicine denial →
• Kaiser Permanente gerd & severe reflux denial →
• Kaiser Permanente ibs & functional gi denial →
• Kaiser Permanente eating disorders — residential / php / iop denial →
• Kaiser Permanente osteoporosis denial →
• Kaiser Permanente long covid / pasc denial →
• Kaiser Permanente severe acne denial →
• Kaiser Permanente eosinophilic esophagitis (eoe) denial →
• Kaiser Permanente iv iron infusion denial →
• Kaiser Permanente hereditary angioedema (hae) denial →
• Kaiser Permanente compounded glp-1 denial →
• Kaiser Permanente pediatric oncology denial →
• Kaiser Permanente maternity & postpartum denial →
• Kaiser Permanente stroke & neuro rehab denial →
• Kaiser Permanente lupus & rheumatology denial →
• Kaiser Permanente chronic wound care denial →
• Kaiser Permanente immune globulin (ivig/scig) for pidd denial →
• Kaiser Permanente adult car-t cell therapy denial →
• Kaiser Permanente myasthenia gravis & cidp denial →
• Kaiser Permanente pulmonary hypertension denial →
• Kaiser Permanente amyloidosis (cardiac attr + al) denial →
• Kaiser Permanente spinal muscular atrophy denial →
• Kaiser Permanente autoimmune cytopenias (itp + aiha) denial →
• Kaiser Permanente c. difficile infection denial →
• Kaiser Permanente solid-organ transplant denial →
• Kaiser Permanente men's sexual health — trt + ed denial →
• Kaiser Permanente treatment-resistant depression — rtms, spravato, ect denial →
• Kaiser Permanente inflammatory bowel disease (crohn's + uc) denial →
• Kaiser Permanente plaque psoriasis + psoriatic arthritis denial →
• Kaiser Permanente atopic dermatitis (ad / eczema) denial →
• Kaiser Permanente glaucoma (drops + procedures + surgery) denial →
• Kaiser Permanente multiple myeloma (non-car-t) denial →
• Kaiser Permanente prostate cancer denial →
• Kaiser Permanente melanoma & melanoma-immunotherapy denial →
• Kaiser Permanente pediatric epilepsy denial →
• Kaiser Permanente growth hormone replacement therapy denial →
• Kaiser Permanente bph procedures + medical therapy denial →
• Kaiser Permanente lymphoma & leukemia (heme malignancies) denial →
• Kaiser Permanente bone marrow transplant (allogeneic hsct) denial →
• Kaiser Permanente neurosurgery — discectomy, laminectomy, craniotomy, shunt denial →
• Kaiser Permanente radiation oncology — proton, sbrt, brachytherapy, imrt, iort denial →
• Kaiser Permanente thyroid eye disease (ted) — tepezza (teprotumumab) and igf-1r therapy denial →
• Kaiser Permanente compounded medications (non-glp-1) — bhrt, ldn, ketamine, custom-dose pediatrics denial →
• Kaiser Permanente ent / otolaryngology — sinus surgery, septoplasty, tonsillectomy, head & neck denial →
• Kaiser Permanente vascular & endovascular — aaa, carotid, pad, varicose veins, ivc filters denial →
• Kaiser Permanente bariatric surgery — rygb, sleeve, duodenal switch, sadi-s, revision, esg denial →
• Kaiser Permanente interventional radiology — ufe, pae, tips, y-90, tumor ablation, kyphoplasty denial →
• Kaiser Permanente neuropsychological & psychological testing — adhd, tbi, dementia, asd, presurgical eval denial →
• Kaiser Permanente mohs surgery & dermatologic surgery — bcc, scc, melanoma in situ, slnb, pdt denial →
• Kaiser Permanente pediatric subspecialty — cardiology, gi, pulmonology, rheumatology, endocrinology, neurology denial →
• Kaiser Permanente reconstructive plastic surgery — lymphedema, panniculectomy, burn, mohs, hand denial →
• Kaiser Permanente inpatient rehab — irf / snf / ltac admission and length-of-stay denial →
• Kaiser Permanente hospice / palliative — eligibility, gip, recertification, concurrent care denial →
• Kaiser Permanente home healthcare — home nursing, home infusion, home pt/ot/slp, home aide, hospital-at-home denial →