What is Peer to Peer? Peer to Peer (or P2P) is essentially the patient’s doctor justifying a patient’s medical order, prescription, or inpatient status to the insurance company’s medical director. These interactions occur when the payer denies a claim according to their own internal policies and requirements. This is usually required within 72, 48, or even […]
Author Archives: Amanda DeMarzo
The Hot Potato of Healthcare
Prior Authorizations are complicated for everyone involved. As a patient who doesn’t know much about the administrative requirements of a doctor’s office, it must feel like a game of hot potato. It constantly goes around and no one seems to want it. Patients are making calls to the physician, pharmacy, and insurance company with no […]
