Mechanisms & Practices
Peer-to-Peer Review
A call between the treating physician and the insurer's medical reviewer to appeal a coverage denial. Documented on AbilityForge as a process that systematically advantages the insurer: the reviewer often lacks the treating physician's specialty, time, or complete clinical record.
Entry Expanding
This entry is part of AbilityForge's reference taxonomy. Full documentation — including context, site appearances, and related entries — is being added as the site develops.