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

You can contact the Oklahoma Insurance Department at (800) 522-0071 (in-state only) or (405) 521-2991. 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 your complaint is received, the Department will assign it to a consumer assistance or claims analyst, and you will receive a letter of acknowledgement.[16] The analyst will contact your health insurer, which has 30 days to respond.[17] The analyst will contact...

How do I file a complaint?

If you are an Oklahoma resident your claim is 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, and telephone number of the person...

How long will the external review process take?

The external review process should take no more than 45 days once the Department determines that your request is eligible for external review.[11] If you requested an expedited external review, the process should take no longer than four business days after...

How do I request an external review?

You should submit your request for external review to the Ohio Department of Insurance (“Department”) within four months from the date that your insurer sent you the final decision.[6] Information. You can find a copy of the request form here. You should...

In what circumstances can I apply for an external review?

During an external review, an independent third party reviews your insurer’s decision.[3] Your insurer will no longer have the final say over whether to approve a treatment or pay a claim. Under Oklahoma law, you are entitled to an external review...

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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