Peer-to-peer hours are expanded for inpatient authorizations
We've listened to your feedback and are excited to share that we've expanded our peer-to-peer phone hours to better serve you.
Starting May 6, 2019, the new hours for our inpatient peer-to-peer line will be from 9 a.m. - 3 p.m., Monday - Friday.
Providers may make an appointment to discuss inpatient authorization denials with one of our medical directors by calling 616.575.2863. A representative will answer your call to schedule an appointment.
The purpose of peer-to-peer discussion is to exchange information regarding the medical necessity of the inpatient stay. This does not take the place of documentation required to support authorization.
Centers for Medicare and Medicaid Services (CMS) rules state that Medicare adverse determinations (denials) cannot be overturned through peer-to-peer review.