Skip to main content

When is it appropriate? What's involved? Considerations and action steps.

Have you ever had a health insurance claim denied for what you considered an insufficient or unjust reason? Have you been waiting seemingly endlessly for an insurer's response to your claim? Have you wondered where to seek help when you see a pattern of third-party administrators delaying your patients' access to care?

Consider filing a complaint with your state's insurance commission. The following are factors to consider and tips for having the highest likelihood of success.

Log in or create a free account to keep reading.


Join APTA to get unlimited access to content.


You Might Also Like...

News

Aetna Will Adopt PTA Pay Differential

Sep 12, 2023

The 15% reduction, set to begin Dec. 1, would mimic CMS cuts adopted in 2022. APTA is pressing Aetna to reconsider.

News

UHC to Lift Prior Authorization Requirements for a Range of Codes

Aug 18, 2023

The changes, which affect outpatient physical therapy, DME, and home care, are part of a UHC effort to reduce administrative burden.

News

Administrative Burden Win: UnitedHealthcare Walks Back Plan of Care Change

Jul 26, 2023

UHC has dropped a signoff requirement that sparked concerns from APTA.