When encountering a Reject 75 – “Prior Authorization Required” on a claim for a Kaiser Permanente member, pharmacists should call the OptumRx Prior Authorization (PA) Call Center for resolution. These claims should not remain in a rejected status and the PA Call Center is available 24 hours a day, 7 days a week to assist with these resolution requests.

PA Representatives are on hand to assist with the following rejection types: 

*Part D vs Excluded rejections 

*B vs D rejections 

*Hospice rejections

Please see attached for more information