to get claims approved, sometimes the insurance companies require “peer to peer” so the doctor can explain why it is needed. some insurances don’t use a peer though. they use an adjuster. so the doctor is explaining to a normal person who doesn’t get it
soooo if your claim has even been denied, there’s a chance an adjuster simply didn’t understand why you really needed xyz :) if the insurance company actually used a doctor, it probably would’ve been approved :)