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Health Plan Complaints

In an effort to better assist the membership in addressing both individual and system wide insurance issues, the ACR developed a standardized complaint form. This method of collecting data will streamline the information collection process and enable the practice advocacy staff and Insurance Subcommittee to act swiftly in advocating for interests on medical and administrative policy and programs.

This form will be linked to a database allowing us to filter and aggregate your submissions, giving us access to detailed complaints specific to payer, issue, and geographic region. This data will prove invaluable to the ACR in proactively identifying trends in payer interaction with rheumatology practices and addressing issues before they escalate.

Please complete as much of the form as possible and attach copies of any correspondence or other supporting documentation, which you feel would help the investigation of your complaint. Use the text box on the second page (or your own letterhead) to state your complaint along with a brief description of potential or actual adverse impact on the patient (if applicable). Specify relevant details (dates, names of insurer representatives, etc.) and describe your previous attempts to resolve the matter.

If you have any further questions, please contact Antanya Chung at: (404) 633-3777.

>>Download Health Plan Complaint FormAdobe Acrobat PDF icon