North Carolina Insurance Commissioner
North Carolina Department of Insurance
Contact information
- Agency: North Carolina Department of Insurance
- Title: Insurance Commissioner
- Phone: (855) 408-1212
- Address: 3200 Beechleaf Court, Raleigh, NC 27604
- File a complaint: https://www.ncdoi.gov/consumers/health-insurance/health-insurance-complaints
- External review: https://www.ncdoi.gov/consumers/health-insurance/external-review
Balance billing & surprise billing protection
Federal NSA primary.
External review & appeal help
Health Insurance Smart NC helps consumers. External review within 120 days.
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 North Carolina Department of Insurance or other authority that governs the case.
Frequently asked questions
How do I file an insurance complaint in North Carolina?
File online at https://www.ncdoi.gov/consumers/health-insurance/health-insurance-complaints or call (855) 408-1212. 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 North Carolina?
Health Insurance Smart NC helps consumers. External review within 120 days. Submit a request at https://www.ncdoi.gov/consumers/health-insurance/external-review.
Does North Carolina protect against surprise balance billing?
Federal NSA primary.
What if my appeal is denied by North Carolina 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 North Carolina Department of Insurance regardless of appeal status.
Appeal your North Carolina 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