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Easy to use online peer-to-peer request form

December 1, 2016

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The online peer-to-peer process streamlines workflows, improves cost-efficiencies, and complies with accreditation requirements. The process was developed with input from the provider community and offers providers a streamlined process, along with opportunities to discuss decisions and resolve inquires prior to initiating a formal appeal.

Visit our website to submit your requests electronically. In order to process peer-to-peer requests quickly and efficiently, please make sure to completely fill out the Peer-to-Peer Request Form, which includes:
  • patient information (i.e., name, reference number/ID number, and date of birth); Note: You can now add up to five patients in one submission.
  • requesting physician?s contact information (i.e., name and telephone number);
  • inpatient information (i.e., facility name and telephone number, if applicable).
If you have an urgent request, please call the Independence Medical Director?s Office at 215-241-0494. For all out-of-area requests, please call 1-888-814-2244. All non-urgent calls will be returned within 24 hours.

If you have questions regarding the submission process, please contact the Physician Support Team at 215-241-0494.


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