Complaints about medical billing

Complaints about medical billing

Starting in 2022, insurance companies and plans, providers, and health care facilities must follow new rules that protect consumers from surprise medical bills. If you have a question about these rules or believe the rules aren’t being followed, contact the No Surprises Help Desk at 1-800-985-3059 to submit your question or a complaint. Or, you can submit a complaint online, below. We may ask you to provide supporting documentation like medical bills and your Explanation of Benefits. We’ll send a confirmation email when we receive your complaint to notify you of next steps and let you know if we need any additional information. To check on the status of a complaint, or to see what documentation is needed, contact the No Surprises Help Desk.

What we can do:

  • Review your complaint to make sure your insurance company, medical provider, or health care facility followed surprise billing rules.
  • Investigate and enforce federal laws and policies under our jurisdiction.
  • Try to find patterns of problems that may need further review.
  • Help you understand what documentation you need to submit or what next steps you should take.
  • Help answer your questions or direct you to someone who can.

What we can’t do:

  • Require medical providers or health care facilities to adjust their charges.
  • Act as your lawyer or give you legal advice.
  • Make medical judgments or determine if further treatment is necessary.
  • Determine the value of a claim, or the amount owed to you.
  • Address issues we can’t legally enforce.

If you still need help with your health insurance and have a problem or question, contact your state Consumer Assistance Program. These programs help consumers experiencing problems with their health insurance or seeking to learn about health coverage options.

For more help

  • Call the No Surprises Help Desk at 1-800-985-3059.
  • Get help in a language other than English. Information about how to access these services is available through the No Surprises Help Desk.
  • Call the No Surprises Help Desk to get this information in an accessible format, like large print, Braille, or audio, at no cost to you.

Submit a complaint

Page Last Modified:
02/14/2023 09:04 AM