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Having Issues With an Insurance Company? File a Complaint!

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Have you received repeated improper denials or delays in payment of clean claims from a particular insurer? Do you feel discriminated against by a health insurer based on your professional license resulting in rejected claims? As an acupuncture billing company we deal with these type of issues on a daily basis and have dedicated staff to resolve claims issues with the insurance company, but we know not everyone has those resources. Here is a tip most people billing insurance for acupuncture aren’t aware of:

Most states have “prompt payment” legislation in place where insurers are required to resolve each provider dispute consistent with applicable law and issue a written determination usually within 45 working days after the date of receipt of the provider dispute. If you feel you have exhausted all of your options with the insurer in resolving a clean claim, take advantage of these laws by contacting your state’s insurance commissioner and filing a complaint. Here is a link for every state!

State   Link
Alabama   http://www.aldoi.gov/ContactUs.aspx
Alaska   https://www.commerce.alaska.gov/web/ins/Home.aspx
Arizona   https://insurance.az.gov/consumers/help-problem/help-health-care-providers
Arkansas   http://www.insurance.arkansas.gov/index_htm_files/CSDProviderComplaintForm.pdf
California   http://www.insurance.ca.gov/01-consumers/101-help/hcpcomplaints.cfm
Colorado   http://cdn.colorado.gov/cs/Satellite/DORA-DI/CBON/DORA/1251623036807
Connecticut   http://www.ct.gov/cid/cwp/view.asp?q=254352
Delaware   http://www.delawareinsurance.gov/contact.shtml
Florida   https://apps.fldfs.com/eService/MedicalProvider.aspx
Georgia   http://oci.ga.gov/ExternalResources/Forms/AllForms/ProviderInstructions.pdf
Hawaii   http://cca.hawaii.gov/ins/contact/
Idaho   http://www.doi.idaho.gov/contactus/direct.aspx
Illinois   https://mc.insurance.illinois.gov/messagecenter.nsf
Indiana   http://www.in.gov/idoi/2683.htm
Iowa   http://www.iid.state.ia.us/file_a_complaint
Kansas   http://www.ksinsurance.org/documents/department/publications/prompt-pay-act-brochure-2015.pdf
Kentucky   http://insurance.ky.gov/Documents/clean_claim_form_july_08.pdf?Div_id=4
Louisiana   https://ldi.la.gov/docs/default-source/documents/health/qualityassurance/pctimelypaymentcomplaintclaim
Maine   http://www.maine.gov/pfr/insurance/complaint.htm
Maryland   http://www.mdinsurance.state.md.us/sa/home-page/contacts-at-mia.html
Massachusetts   http://www.mass.gov/ocabr/utility/contact-info-at-oca.html
Michigan   https://www.michigan.gov/documents/cis_ofis_comp_all_25074_7.pdf
Minnesota   http://mn.gov/commerce/insurance/root/Contact-Us.jsp
Mississippi   http://www.mid.ms.gov/about/contact-us.aspx
Missouri   http://insurance.mo.gov/consumers/health/providercomplaints.php
Montana   http://csimt.gov/insurance/complaints/
Nebraska   http://www.doi.nebraska.gov/complaint/complaint.html
Nevada   http://doi.nv.gov/Contact-Us/
New Hampshire   https://www.nh.gov/insurance/contactus/index.htm
New Jersey   http://www.state.nj.us/dobi/division_insurance/drcorner.htm
New Mexico   http://www.osi.state.nm.us/contact-us/contact-us.html
New York   http://www.dfs.ny.gov/insurance/provlhow.htm
North Carolina   http://www.ncdoi.com/Consumer/Documents/Providers/GuidanceForProviders.pdf
North Dakota   http://www.nd.gov/ndins/communications/
Ohio   http://www.insurance.ohio.gov/secured/Pages/OCHAMP.aspx
Oklahoma   https://www.ok.gov/oid/Consumers/Insurance_Basics/Prompt_Pay_Information.html
Oregon   http://www.oregon.gov/dcbs/insurance/gethelp/pages/fileacomplaint.aspx
Pennsylvania   http://www.pahealthoptions.com/page/how-to-file-a-complaint
Rhode Island   http://www.ohic.ri.gov/Providers_complaint.php
South Carolina   http://www.doi.sc.gov/109/Contact
South Dakota   http://dlr.sd.gov/aboutus/default.aspx#contactus
Tennessee   https://www.tn.gov/assets/entities/commerce/attachments/TCD-ProviderComplaint030514.pdf
Texas   http://www.tdi.texas.gov/hprovider/doctors2.html
Utah   https://insurance.utah.gov/complaint/
Vermont   http://www.dfr.vermont.gov/insurance/insurance-division
Virginia   https://www.scc.virginia.gov/boi/index.aspx
Washington   http://www.insurance.wa.gov/complaints-and-fraud/file-a-complaint/
West Virginia   http://www.wvinsurance.gov/ContactInfo.aspx
Wisconsin   http://oci.wi.gov/index.htm
Wyoming   http://doi.wyo.gov/consumers/consumer-request-for-assistance/file-a-complaint

 

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