Peer-to-peer policy update cancelled

In June, we announced an update to our peer-to-peer (P2P) policy, which would only allow the clinical information submitted with the initial authorization request to be considered at the P2P.

After careful consideration, including assessment of feedback from our provider network, we’ve decided not to move ahead with this change, for both inpatient and outpatient authorizations.

We encourage you to continue to be thorough with your authorization requests, ensuring all supporting documentation is available and submitted with the initial request. This helps us get you the best decision the first time and helps you avoid potential re-work and appeals.

See our P2P policy for request timelines, how to request a P2P and more.