Help with Unresolved Claims Issues

Many physicians and their staff are spending a significant amount of time dealing with insurance companies trying to get claims processed and paid correctly.  If appeals have been exhausted or if an insurance company is non-responsive there is a two pronged-approach practices can take to help get the issue resolved:  (1) the patient submits a complaint to the Texas Department of Insurance; and (2) the physician’s office submits the claim to the Texas Medical Association’s (TMA) Hassel Factor Log.  This article gives a few details on each.