New Hampshire HB1554 requires insurance carriers to offer peer-to-peer reviews at any stage of prior authorization and mandates disclosure of.

New Hampshire HB1554 amends insurance regulations to require insurance carriers to provide peer-to-peer review options at any stage of prior authorization. This means providers can request a direct conversation with a clinical peer to discuss the basis for a prior authorization request. The peer-to-peer review must be conducted by a physician reviewer with relevant expertise and must occur within five business days of the request. The insurer must also disclose the reviewer's full name, licensure type, issuing state, and National Provider Identifier (NPI) before the conversation begins.

New Hampshire HB1554 requires insurance carriers to offer peer-to-peer reviews at any stage of prior authorization and mandates disclosure of.

New Hampshire HB1554 amends insurance regulations to require insurance carriers to provide peer-to-peer review options at any stage of prior authorization. This means providers can request a direct conversation with a clinical peer to discuss the basis for a prior authorization request. The peer-to-peer review must be conducted by a physician reviewer with relevant expertise and must occur within five business days of the request. The insurer must also disclose the reviewer's full name, licensure type, issuing state, and National Provider Identifier (NPI) before the conversation begins.