Defending Patient Treatment Authorization with Insurance Reviewers
Peer-to-peer insurance reviews are designed to deny high-cost treatments. Discover how physicians cite clinical trial guidelines to overturn denials.
Amit KasliwalCEO & Founder, Dehurdle
May 21, 20254 min read
The Peer-to-Peer Review Script
Recommended Spoken Script
"Doctor, the patient has documented contraindications to first-line generic therapy, including acute renal insufficiency (eGFR 28). According to NCCN Category 1 guidelines, this targeted biologic is the only evidenced therapy that avoids nephrotoxicity. Denying this leaves the patient at imminent risk of emergency dialysis. I am requesting immediate peer-to-peer reversal."
The 2-Minute Practice Drill
2-Minute Spoken Drill
The 2-Minute Practice Drill
Practice peer-to-peer insurance dispute calls in Dehurdle.