PEAQ Updated Methodology and FAQ

The Physician Efficiency, Appropriateness, & Quality (PEAQ) program helps to measure individual provider performance. The program’s goal is to maximize and improve quality and value of care for our members.

It was developed and is maintained with input from physicians. Their input leads to regular updates to the program methodology. Previous methodologies were released in December 2019 and August 2020, which then began the evaluation periods based on those respective methodologies. We have recently released a new PEAQ methodology that includes updates to:

  • Measures for appropriateness (including new specialties) and quality
  • Criteria for inclusion
  • Reconsideration details

We plan to release program results later in 2022 for the completed evaluation periods that correspond to the previously released methodologies. Appropriateness measures are not yet incorporated into PEAQ results but will be included as informational only. These results will be available to physicians through Availity® Essentials. Not yet registered with Availity? Sign up now at no cost on Availity. For help registering, contact Availity Client Services at 1-800-282-4548.

For more information, refer to the Frequently Asked Questions (FAQ) on the PEAQ page.

Availity is a trademark of Availity, L.L.C., a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSTX. BCBSTX makes no endorsement, representations or warranties regarding any products or services provided by third party vendors.