Medical Policy Inquiries

Inquiries concerning PHP medical policies or new medical devices and technologies are welcome.

When inquiries are submitted, the following information is required in order to adequately address questions or policy change recommendations:

Please complete the following information:

Fields marked with an asterisk (*) are required.

First name*

Last name*

Specialty/Areas of Interest*

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If other, please specify

Email address*

Phone number

Facility of Practice

City, state, zip code

Current or New Policy Current policy New policy

Policy Name

Technology/procedure and the condition being treated

Question or Comment

Messages sent via this form are not secure and should not contain personal health information. Call 911 if you have a life-threatening emergency.

Supporting information

Please attach any supporting documentation here.

I am a provider, and I would like to be contacted to review and comment on future policies in my specialty/areas of interest.

Please do not contact PHP medical directors or medical policy analysts directly.

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