I would just start calling. I am not super familiar with doctors in your area (but have seen a few reports related to my work), but if you have questions about any please let me know via pm.
If you do decide on an OOP consultation I would recommend having him go to SCOI. I can recommend a few doctors at that practice.
In my personal experience if Kaiser doesn’t have the right specialist they will refer out of network and pick up the cost. I would probably be frank with the orthopedic hand surgeon and tell them you want an out of network referral.
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