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

You can contact the Mississippi Department of Insurance at (601) 359-2453 or (800) 562-2957. 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, you will receive an email acknowledgement and the complaint identification number.[14] The Department will provide a copy of your complaint to your health insurer. The complaint will then be reviewed by the Consumer Services Division,...

How do I file a complaint?

If you are a Mississippi resident and your claim was still denied after the external review process, you can file a complaint with the Department. Complaint information. Your complaint should include the following information: The name, address, email address, telephone number...

How long will the external review process take?

If the insurer determines that your requested treatment is “experimental,” the expedited external review process should take no more than five days and the standard external review process should take no more than 20 days.[9] If the insurer denies your...

How do I request an external review?

You should file your request for an external review with the Mississippi Insurance Department (“Department”) within four months from when your insurer sent you the final decision.[4] You can find a copy of the form here. Information. You should include the following information...

What if my insurer denies my coverage after an internal appeal?

If your insurer denies your coverage after an internal appeal, you are entitled by law to request an external review from an independent third party, which means your insurer no longer has the final say over whether to approve a...

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 are waiting for...

How do I request an internal appeal?

If your insurer denies your claim, you have the right to an 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 following: Review...

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