Maine Insurance Commissioner
Maine Bureau of Insurance
Contact information
- Agency: Maine Bureau of Insurance
- Title: Superintendent
- Phone: (800) 300-5000
- Address: 76 Northern Avenue, Gardiner, ME 04345
- File a complaint: https://www.maine.gov/pfr/insurance/consumers/complaint_process.html
- External review: https://www.maine.gov/pfr/insurance/consumers/external_review.html
Balance billing & surprise billing protection
Maine has surprise billing protection law for emergency + certain non-emergency situations. Strong state law.
External review & appeal help
External review within 12 months of adverse determination. Maine has consumer-friendly process.
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 Maine Bureau of Insurance or other authority that governs the case.
Frequently asked questions
How do I file an insurance complaint in Maine?
File online at https://www.maine.gov/pfr/insurance/consumers/complaint_process.html or call (800) 300-5000. 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 Maine?
External review within 12 months of adverse determination. Maine has consumer-friendly process. Submit a request at https://www.maine.gov/pfr/insurance/consumers/external_review.html.
Does Maine protect against surprise balance billing?
Maine has surprise billing protection law for emergency + certain non-emergency situations. Strong state law.
What if my appeal is denied by Maine 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 Maine Bureau of Insurance regardless of appeal status.
Appeal your Maine 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