HB1554-FN: requiring insurance carriers to provide peer-to-peer review at any stage of prior authorization and mandating disclosure of reviewer credentials.

Related law links

RSA references from bill data

• 417 · amend · effective 2027-07-01

  dless of whether the call is initiated by the provider or the insurer. (c) Failure of the insurer to comply with this section shall constitute an unfair insurance practice under RSA 417 and may be subject to administrative penalties by the insurance commissioner. 3 Utilization Review. Amend RSA 420-J:6, X to read as follows: X. Option to request a peer-to-peer review. When a health carrier re

• 420-E:4-B · amend · effective 2027-07-01

  reviewer credentials. Be it Enacted by the Senate and House of Representatives in General Court convened: 1 Prior Authorization Standards for Managed Care Plans. Amend RSA 420-E:4-b, VII to read as follows: VII. Option to request a peer-to-peer review. When a utilization review entity requires prior authorization for an item or service, the utilization review entity shall offer the provider th

• 420-J:6 · amend · effective 2027-07-01

  section shall constitute an unfair insurance practice under RSA 417 and may be subject to administrative penalties by the insurance commissioner. 3 Utilization Review. Amend RSA 420-J:6, X to read as follows: X. Option to request a peer-to-peer review. When a health carrier requires prior authorization for an item or service, the carrier shall offer the provider the opportunity to request a peer-t

RSAs mentioned by this document

• RSA 417 · UNFAIR INSURANCE TRADE PRACTICES
• RSA 420-E · LICENSURE OF MEDICAL UTILIZATION REVIEW ENTITIES
• RSA 420-J · MANAGED CARE LAW
• RSA 420-J:6 · Utilization Review