WELCOME ARIZONA HEALTHCARE PROVIDERS!
Help with a Problem
If you are a health care provider with a complaint about an insurance company...
Use the Provider Grievance Information Resource to learn about when and how we can help. Arizona law may not provide us jurisdiction to address an issue you face. We worked hard to include in the Provider Grievance Information Resource steps that you can take when we do not have authority to intervene.
For matters that are within our jurisdiction based on the Provider Grievance Information Resource:
- Complete and submit our "Consumer Complaint" form.
- Where the form asks "What is your relationship to the insured?" select "Healthcare Provider."
We would value your feedback on information we are developing for Arizona's surprise out-of-network billing dispute resolution (SOONBDR) process so we can create a process that is "simple, fair, efficient and cost-effective," as required by the law. The SOONBDR web page, at https://insurance.az.gov/soonbdr, provides information about surprise out-of-network bills, and invites comments concerning proposed rules and language to be included in notices.
We are aware of a phishing scam targeting insurance professionals claiming that the National Association of Insurance Commissioners received a complaint that the professional submitted a falsified claim. This fraudulent email displays the NAIC and CIPR logos, can originate from what appears to be an naic.org or gmail.com email account, and instructs the recipient to click on a link to download the complaint notification.
Certain antivirus products will detect this as a malicious email. If you receive a similar email and have any concerns, contact the NAIC Service Desk at (816) 783-8500 or [email protected].