Please choose from the following:
- Consumer Complaint information page
The Ohio Department of Insurance Consumer Services Division provides consumer information and investigates complaints against companies or agents involving all kinds of insurance.
- Pharmacy Benefit Manager Complaint information page
The Consumer Services Division of the Ohio Department of Insurance provides information and investigates complaints involving pharmacy benefit managers, pursuant to Ohio Revised Code 3959.
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- Understanding the Health Coverage and External Review Appeals Processes
The Ohio Department of Insurance has created this on-line toolkit to help consumers and medical providers understand the process by which they can appeal a health coverage claim denial made by their insurer after the appeals process with the insurer has been exhausted. The toolkit contains a helpful brochure, articles, and answers to frequently asked questions. Those with questions about appealing their insurer's health coverage decisions can call the Department's consumer hotline at 1-800-686-1526. Click here to file a complaint to start an appeal.
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- Fraud Complaint information page
The Fraud Unit will investigate complaints of persons suspected of fraudulently attempting to receive a benefit from an insurance company.
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- Provider Complaint information page
A healthcare provider may submit a prompt pay complaint to the Ohio Department of Insurance by completing the prompt pay complaint form. A provider should follow all contract grievance and appeal procedures before filing a complaint with the Department.
To see 2015 Consumer Complaints click here.
Email us here if you have questions about Prompt Pay Provider Complaints. |