Request Assistance with Health Insurance Plan

The ACR is available to assist with insurance issues that threaten patient access on a regional or national level. Follow the instructions below to request assistance electronically or by fax / mail. Please include as much detail as possible but do NOT include any patient identifying information. ACR staff will evaluate the issue to ensure consistency with practice guidelines and will follow up with you to request additional information if necessary.

Online

Complete the online form to request assistance with a health insurance plan.

Mail or Fax

Please complete a separate Health Plan Complaint Form for each insurance company or HMO - a single complaint may involve multiple patients covered by the same insurance company or HMO. Include a detailed description of the issue.

Mail: Send completed form(s) by U.S. mail to:
American College of Rheumatology
Attention: Director, Practice Advocacy
2200 Lake Boulevard NE
Atlanta, GA 30319

Fax: Fax completed form(s) with a cover letter that says Attention: Director, Practice Advocacy to 404-633-1870.


Instructions

Please complete one form for each insurance company or HMO – a single complaint may invoice multiple patients covered by the same insurance company.

Specify relevant details (dates of service, names of insurer representatives, etc.) and describe your attempts to resolve the matter. Attach any related correspondence or documents you feel would help the investigation of your complaint.

Please do NOT include any patient identifying information on the form due to HIPAA compliance.


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