Health Plan Complaint Form Available from AMA

In Brief: The American Medical Association (AMA) has developed a health plan complaint form for physicians to report administrative disputes with third party payors. 

Following acceptance of a resolution in the AMA House of Delegates, the AMA’s Private Sector Advocacy (PSA) division developed a health plan complaint form.  The form allows physicians to report improper denials, late payments, administrative issues, downcoding and bundling, contract disputes, and other problems with insurers and third party payors.

Data collected from this form is used to develop a database of health plan complaints and identify insurance trends.  The PSA division also uses the information in discussions with insurers and third party payors as well as in the AMA’s legislative and regulatory agenda.

Information provided on the form will remain confidential and the use of personal identifying information is optional.  Only physicians may complete the form and are required to use either an AMA Internet ID or medical education number to ensure security.  The form may be accessed and completed on the AMA’s Web site at http://www.ama-assn.org/ama/pub/category/6760.html. 

For additional information or to receive a copy of the form, contact the Academy national office at (312) 464-9700 or info@aapmr.org.