You can also file a complaint with the Maryland Attorney General’s Office, either at the same time you file a complaint with the Maryland Insurance Administration or in lieu of filing a complaint with the Administration.
Complaint information. You can find a copy of the complaint form here. Your complaint should include the following information:
- The name, address, email address, telephone number, and date of birth of the patient;
- The name, address, email address, telephone number, and relationship to patient of the person filing the complaint (“Complainant”);
- The name of the insured individual, if different than the Complainant;
- The name of insurance company;
- The group name or number, membership number, and date appeal was filed with your health insurer;
- The name, business address, telephone number, and email address of your health care provider;
- The name, address, telephone number, and email address of any other health care providers involved in your case;
- Whether the patient has received service or care;
- A description of the complaint; and
- What you consider to be a fair resolution of the complaint.[20]
Supporting documents. You should submit the following supporting documents with your complaint:
- Signed authorization to release medical information (in the complaint packet);
- A copy of the confirmation page you received after submitting your complaint online (if you submitted your complaint online);
- A copy of any bills, records, or correspondence related to your complaint;
- A copy of any correspondence from the health insurer related to the 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.[21]
How to submit. The complaint may be submitted online here, faxed to (410) 576-6571, or mailed to the following address:
Office of the Attorney General
Consumer Protection Division
Health Education and Advocacy Unit
200 St. Paul Place, 16th Floor
Baltimore, MD 21202[22]