Arizona Department of Insurance

COMPLIANCE: Health Care Appeals

NEW ADDRESS

Arizona Department of Insurance
100 North 15th Avenue, Suite 261
Phoenix, AZ  85007-2630

Starting July 1, 2020, we will be the
Department of Insurance and Financial Institutions (DIFI).

NOTICE

Arizona state agencies are experiencing telephone system problems that may impact your ability to reach us.  If you can e-mail us instead (see our CONTACT US page), please do so.  We do not have an estimate time by which the problem will be resolved.  We are very sorry for any inconvenience this is causing.

Wed, 07/23/2014 - 13:16
Health Care Appeals Transmittal Form

This document must accompany each appeal submitted to the Arizona Department of Insurance.  An appeal can only be submitted to the Department after the insurer's appeals process has been exhausted.