If you would like to speak with a clinical reviewer about the denial of a provider-administered medication pre-authorization (PA) request, please complete this form to arrange for a peer-to-peer (P2P) discussion.
Please call Pharmacy Customer Service for all inquiries related to retail medications.
Pharmacy Customer Service: 1 (844) 765-6827
Provider Customer Service: 1 (800) 253-0838
Medicare Customer Service: 1 (866) 749-0355
This process is intended to:
This process is NOT for:
If the answers to all the questions below are yes, a P2P for this provider-administered medication-related call may be conducted.
If the request does NOT meet these criteria and you wish to submit an appeal, please refer to the denial letter.
Please click here to submit a P2P request for a non-MEDICATION question.
Please click here for an HMSA member OR for non-MEDICATION P2P requests.
Note: Additional P2Ps are ONLY allowed for new/different denial (i.e., a request for a different medication regimen or a different diagnosis). We are unable to return call requests for denials on the same medication request, such as for each level of appeal.
For hyaluronic acids (Euflexxa, Gel-One, Orthovisc, Supartz, Synvisc/One, etc.):
Note: telephone numbers will NOT be shared, including cell phones. Direct phone lines expedite our timely return of calls.
Please provide a brief description of the specific clinical question.
(e.g. ok to leave message, ask for specific person)