How Disability Peer Reviews Enhance Claim Accuracy

A disability peer review is conducted when a physician, often of the same specialty as the treating provider, evaluates the submitted medical information to determine whether the consensus (in this case, a disability recommendation) aligns with evidence-based guidelines.

These reviews are especially helpful when there is conflicting information or when further clinical insight is needed. For instance, if a patient claims ongoing disability due to a musculoskeletal condition, a peer review by an orthopedic specialist can assess whether the clinical evidence supports the disability recommendation or functional capacity.

The common idiom that summarizes the benefit of having multiple perspectives comes into play nicely here; “Two eyes are better than one!”