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Before you request an Independent Medical Review with the California Department of Insurance, you are required to first file an appeal/grievance with the insurance company in an effort to resolve the issue(s). ... We consider this information necessary to our review and within the powers and duties expressed in the California Insurance Code ...
If you have an account, you can: Check on the status of your complaint; Add new documents to support your complaint; File a new complaint
Welcome to the California Department of Insurance Consumer Complaint Center. Choose one of the two options below to continue. Please note, you must be registered and logged in, in order to view your previously submitted requests.
STEP 2: File an IMR/Complaint with the DMHC. Once you have participated in the 30-day process with your health plan, if the issue has not been resolved or you are not satisfied with the decision, you can proceed with filing an IMR/Complaint with the DMHC. If your health problem is urgent, you may seek immediate assistance from the DMHC.
To report problems with non-healthcare insurance companies, insurance agents or brokers, title insurers, underwritten title companies, surety bonds, bail agents, or annuities, contact the California Department of Insurance online or by calling their consumer help line: (800) 927-4357 or (800) 482-4833 (TTY). To verify an insurance agent’s or ...
Contact CDI for help with many PPO plans and help with other kinds of health insurance. 1-800-927-4357 www.insurance.ca.gov. Covered California. Contact Covered California to appeal a Covered California decision regarding your eligibility, or to file a complaint about a problem related to Covered California. 1-800-300-1506 www.coveredca.com
The quickest and easiest way to file a complaint with the California Department of Insurance (CDI) regarding your insurance company is to visit insurance.ca.gov, and select “File a Consumer Complaint Online.”. Alternatively, you can call the CDI toll-free consumer hotline at 1-800-927-HELP (4357), and a representative can help you file your ...
San Diego, CA 92171-9002. By phone. To file a grievance for medical or pharmacy services by phone, call the customer care number on your member ID or (800) 393-6130 (TTY 711). For mental health and substance disorder services, call (877) 263-9952. Back to top.
The CDI toll-free hotline number is: 1-800-927-HELP (4357). Be aware that when you file a formal complaint the CDI contacts your insurance company, tells them about your complaint, and gets their side of the story. The CDI will not “adjudicate” (act as a judge and issue a decision re: factual or legal disputes.
How to File a Complaint with the California Department of Insurance. Online: CA Department of Insurance Complaint Form. You can also contact their consumer hotline for more information: 1-800-927-4357. The California Department of Insurance will conduct an investigation of your complaint against the insurance company. They will review any ...