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 filing the complaint (“Complainant”);
• The name, address, and telephone number of the insured individual, if different than the Complainant;
• The name and address of insurance company;
• The policy number and effective date of the policy;
• The name, address, and telephone number of the agent;
• The name, address, and telephone number of the adjuster; and
• The details of the complaint.^[13]

Supporting documents. You should submit the following supporting documents with your complaint:

• A copy of your insurance card;
• Copies of coverage denials or adverse benefit determinations from your insurer;
• Copies of any determinations made by internal and external reviewers;
• Any materials submitted with prior appeals and complaints;
• Supporting documentation from your health care provider;
• A copy of your insurance policy; and
• All responses from your insurer.^[14]

How to submit. The complaint may be submitted online here, faxed to (405) 521-6652, or mailed to the following address:

Oklahoma Insurance Department
Five Corporate Plaza
3625 NW 56^th, Suite 100
Oklahoma City, OK 73112^[15]