Alaska Statutes Title 21. Insurance § 21.07.120. Peer review of prior authorization request

(a) A health care insurer shall establish a process for a health care provider to request a clinical peer review of a prior authorization request.

(b) A peer reviewer must have relevant clinical expertise in the specialty area or be of an equivalent specialty as the health care provider submitting the prior authorization request.  A peer reviewer shall attest, in writing or electronically, that the reviewer has personally reviewed and considered all medical notes and relevant clinical information submitted as part of the prior authorization request.

(c) A health care insurer shall provide to a health care provider at the provider's request the qualifications of a peer reviewer issuing an adverse decision on a prior authorization request, including the specialty and relevant board certifications of the peer reviewer.