Massachusetts Insurance Commissioner
Massachusetts Division of Insurance
Contact information
- Agency: Massachusetts Division of Insurance
- Title: Commissioner of Insurance
- Phone: (617) 521-7794
- Address: 1000 Washington Street, Suite 810, Boston, MA 02118
- File a complaint: https://www.mass.gov/file-an-insurance-complaint
- External review: https://www.mass.gov/info-details/external-review-of-managed-care-health-plan-decisions
Balance billing & surprise billing protection
MA has comprehensive consumer protection laws. Federal NSA + state law.
External review & appeal help
Office of Patient Protection handles external reviews. Free and binding.
How DenialHelp fits in
The governing notice and plan determine whether internal review must be completed before an external request. DenialHelp helps organize the notice, candidate evidence, and a draft for patient and clinician review. Verify the current route and filing instructions with the Massachusetts Division of Insurance or other authority that governs the case.
Frequently asked questions
How do I file an insurance complaint in Massachusetts?
File online at https://www.mass.gov/file-an-insurance-complaint or call (617) 521-7794. Most states will investigate insurance company conduct, send the complaint to the insurer for a written response, and report findings to you.
What is the external review process in Massachusetts?
Office of Patient Protection handles external reviews. Free and binding. Submit a request at https://www.mass.gov/info-details/external-review-of-managed-care-health-plan-decisions.
Does Massachusetts protect against surprise balance billing?
MA has comprehensive consumer protection laws. Federal NSA + state law.
What if my appeal is denied by Massachusetts insurance company?
After internal appeal denial, you can request external review through the state insurance department or its contracted Independent Review Organization (IRO). External review decisions are typically binding on the insurer. You can also file a complaint with the Massachusetts Division of Insurance regardless of appeal status.
Appeal your Massachusetts health insurance denial
Upload the current notice to organize a reviewable draft. Confirm the applicable internal and external review route with the notice and current state or federal source.
Get started →Contact: hello@denialhelp.com