Who should I call if I have any questions about filing a complaint?

You can contact the Kansas Department of Insurance at (785) 296-7829 or (800) 432-2484. The Department is open from 8:00 a.m. to 5:00 p.m. Monday through Friday.

What happens after the Department receives my complaint?

Once the Department receives your complaint, it will forward a copy to your insurance company for a response and send you a letter of acknowledgement.[21] If the health insurer has violated a law or regulation, the Department will request that the...

How do I file a complaint?

If you are a Kansas resident and your insurer denies your coverage after the external review process, you can file a complaint with the Kansas Department of Insurance (“Department”). Complaint information. Your complaint should include the following information: The name, address, email address,...

How long will the external review process take?

The external review process should take no more than 30 business days after receiving your request for external review. If you requested an expedited external review, the process should take no longer than 72 hours after your request is received.[17]

How do I request an external review?

If insurer has denied your health claim, you can submit a request for an independent medical review to the Department of Insurance within 120 days of receiving a final decision from your insurer.[11] You should contact the Kansas Department of Insurance...

In what circumstances can I apply for an external review?

During an external review, an independent third party reviews your insurer’s decision.[6] You can request an external review of the insurer’s decision in the following circumstances: You requested an internal appeal but your insurer did not give you a decision within...

How long should the internal appeals process take?

The internal appeals process should take a maximum of 30 days if you have not yet received the requested service or treatment and a maximum of 60 days if you have received the service or treatment but have been denied...

How do I request an internal appeal?

If your insurer denies your claim, you have the right to a first level internal appeal.[1] This means you can ask your insurer to conduct a full and fair review of its decision. To appeal the denial, you should do the...

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