Search Results: "consumer complaints"

2018mhsudrept

2018 Claims-Complaints-Appeals Mental Health and Substance Use Disorder Benefits Report

External Links

Name Telephone Number
Birth Injury Fund (BIF) (804) 330-2471
Certified Financial Planner Board of Standards 1-800-487-1497
Consumer Services - Non-Insurance Complaints Consumer Protection Section, Office of the Attorney General (804) 786-2042
1-800-552-9963
U.S. Department of Labor - Continuation of Health Coverage (COBRA) 1-866-4-USA-DOL
DCJS – Surety Bail Bondsman Licensing (Virginia Department of Criminal Justice Services) (804) 786-4000
DMV - Consumer Contact Center (Virginia Department of Motor Vehicles) 1-800-435-5137
DMV - Motor Carrier Services (Virginia Department of Motor Vehicles) 1-866-DMVLINE
ERISA (U.S. Department of Labor, Employee Benefits Security Adm. Employee Retirement Income Security Act) 1-866-444-EBSA
FAMIS Children's Health Insurance – CoverVA 1-855-242-8282
Federal Employees Health Insurance Plan - Mail Handlers Plan 1-800-410-7778
Flood Insurance (National Flood Insurance Program) 1-888-379-9532
Virginia Life, Accident & Sickness Insurance Guaranty Association (804) 282-2240
Virginia Property and Casualty Insurance Guaranty Association 1-800-282-2240
HIPAA (U.S. Department of Labor, Employee Benefits Security Adm.) 1-866-4-USA-DOL
Insurance Fraud (Virginia Department of State Police-Insurance Fraud Unit) 1-877-623-7283
Virginia Lawyer Referral Service (Virginia State Bar) (804) 775-0808
1-800-552-7977
Legislative Services (Virginia Division of Legislative Services) (804) 786-3591
Medicaid (Virginia Department of Medical Assistance Services) (804) 786-7933
Medicare 1-800-Medicare
Medicare Claims, Appeals Information, and Medicare Summary Notices 1-800-Medicare
NAIC (National Association Insurance Commissioners) (816) 842-3600
Provider Complaints (Virginia Department of Health Professions) (804) 367-4400
1-800-533-1560
Quality of Care Issues/Facilities/HMOs (Virginia Department of Health) (804) 367-2102
1-800-955-1819
Retirement for State Employees (Virginia Retirement System) (804) 649-8059
1-888-827-3847
State Employees Insurance (Department of Human Resources Management) (804) 225-2131
Workers' Compensation Claims (Virginia Workers' Compensation Commission) 1-877-664-2566 (Nationwide toll free number)

 

2021mhsudrept

2021 Claims-Complaints-Appeals Mental Health and Substance Use Disorder Benefits Report

2018PUR

2019PUR

2019 pur statistical summary

2020PUR

PUR2020 div stats

2021PUR

PUR statistical report 2021

2022PUR

SCC AR statistics: PUR

File A Complaint

Use our Insurance Complaint Portal to submit your complaint. 

  • Set up an account using a valid email address and create a password.
  • Submit your complaint, providing as much information as possible. Upload copies of all supporting documentation.
    • If you are unable to submit your documentation via the Portal, you may mail or fax it to us.
  • An email confirmation with your complaint number will be sent to you after the complaint has been submitted and assigned to an insurance examiner.
  • To add additional information, log back into the Portal and add a comment or upload the document. Click the Submit button to save information.
  • You will receive an email when there are updates to your complaint. To view these updates:
    • Log in to the Portal. Your complaint(s) will be listed by number on the Workspace page.
    • In the Action column next to your complaint, select one of the two links—Comments or Documents. You will be taken to a list of all updates- select the one you want to review.

HEALTH CARE PROVIDERS:  When using the Portal for submitting complaints subject to Section 38.2-3407.15 or 38.2-237 of the Code of Virginia, please complete the Provider Complaint Form and upload it with all required and supporting documentation. “Insured Information” is not necessary for complaints that involve more than one covered person.

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