Sutter Pacific Medical Foundation makes all decisions regarding requests for medical care based on the medical necessity/appropriateness of the request and/or the member's benefit coverage. For clinical guidelines, affirmative statements, answers to utilization management questions or to request to discuss denial decisions with an appropriate practitioner please call (866) 681-0739 or TTY/TDD users may call 711 from 8:00 am to 5:00 pm. Our customer service representative will connect you with the appropriate clinical service team member.
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