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

HB 1554 requires health insurance companies to offer peer-to-peer reviews at any stage of the prior authorization process, allowing doctors to discuss medical necessity directly with a qualified medical expert. Insurers must disclose the reviewer’s full name, license details, issuing state, and National Provider Identifier (NPI) to the doctor before the review begins. The bill mandates that reviews be scheduled within 2 business days for initial requests or 5 business days after a denial, with written decisions provided promptly. This applies to all health insurance plans and aims to increase transparency and timely decision-making for doctors and patients seeking coverage.