Peer-to-peer (P2P)
A live phone discussion between the prescribing physician and a plan medical director. Often resolves denials in minutes.
Peer-to-peer is a direct phone consultation between the prescribing clinician and the plan's reviewing clinician (typically a medical director). It's often offered before or alongside the formal internal appeal. The reviewing professional has authority to overturn or uphold the denial in real time based on the clinical conversation. P2P is most effective for prior-authorization denials of biologics, oncology drugs, mental-health treatments, and advanced imaging.
Frequently asked questions
What is peer-to-peer (p2p)?
Peer-to-peer is a direct phone consultation between the prescribing clinician and the plan's reviewing clinician (typically a medical director). It's often offered before or alongside the formal internal appeal. The reviewing professional has authority to overturn or uphold the denial in real time based on the clinical conversation. P2P is most effective for prior-authorization denials of biologics, oncology drugs, mental-health treatments, and advanced imaging.
Related terms
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