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

Summary

The bill forces health insurers and utilization‑review entities to let providers request a direct conversation with a qualified medical peer whenever a prior‑authorization decision is made, even after a denial or appeal. The insurer must provide the reviewer’s name, license type, issuing state and NPI before the call. Failure to follow these rules is treated as an unfair insurance practice.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

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