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Subject: Update for Peer to Peer Requests
Date: September 30, 2021
Aetna Better Health of New Jersey will change the timeline in which Peer to Peer requests can be submitted after receiving an adverse determination. Effective 09/28/2021, requests for a peer to peer review must be received within two (2) business days of the issuance of the denial, independent of the discharge date for inpatient services.  If a request for a peer to peer review is received after two business days of the issuance of the denial, the Aetna Better Health of New Jersey provider appeals process will be provided.