Peer-to-Peer Review

Also called: peer to peer, P2P

A peer-to-peer review is a phone conversation in which your treating provider speaks directly with a physician working for the insurer to argue that a denied service should be approved. It is often available quickly and can resolve a denial before a formal appeal is even filed. A focused peer-to-peer that addresses the exact reason for denial can reverse it on the spot.

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Disclaimer: This definition is provided for general educational purposes only and is not legal, medical, or insurance advice. Insurance rules, deadlines, and terminology vary by plan, state, and over time. Always check your own plan documents and confirm current details before acting.