Peer-to-peer policy update delayed for inpatient procedures

In June, we announced an update to our peer-to-peer (P2P) policy. The update would only allow the clinical information submitted with the initial authorization request to be considered at the P2P. This was slated to go into effect for inpatient procedures on September 4 and outpatient procedures on October 9.

Implementation of this update for inpatient requests is delayed.

A new implementation date hasn’t yet been determined. As always, we’ll keep you informed of any updates as they’re available.