NH HB1554

Insureds or providers may request a peer-to-peer review of adverse prior authorization decisions at any time, including after an appeal has been initiated, with insurers required to schedule the conversation within 5 business days

Peer-to-peer reviews must be conducted by a physician reviewer who holds an active license in the same or similar specialty as the treating provider, is actively practicing in that field, and has expertise to assess medical necessity of the specific procedure

Insurers must disclose the reviewer's full name, licensure type and issuing state, and National Provider Identifier (NPI) to the requesting provider at or before the start of the peer-to-peer conversation

Failure to comply constitutes an unfair insurance practice under RSA 417 and may result in administrative penalties from the insurance commissioner

Effective date is January 1, 2027; fiscal impact includes indeterminable increases to state general fund revenue and indeterminable county and local expenditure impacts related to health insurance premiums