Pennsylvania Insurance Commissioner
Pennsylvania Insurance Department
Contact information
- Agency: Pennsylvania Insurance Department
- Title: Insurance Commissioner
- Phone: (877) 881-6388
- Address: 1326 Strawberry Square, Harrisburg, PA 17120
- File a complaint: https://www.insurance.pa.gov/Consumers/Pages/File-a-Complaint.aspx
- External review: https://www.insurance.pa.gov/Consumers/Pages/Independent-External-Review.aspx
Balance billing & surprise billing protection
PA Act 146 of 2020 — surprise billing protections + federal NSA.
External review & appeal help
Independent External Review through PID. 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 Pennsylvania Insurance Department or other authority that governs the case.
Frequently asked questions
How do I file an insurance complaint in Pennsylvania?
File online at https://www.insurance.pa.gov/Consumers/Pages/File-a-Complaint.aspx or call (877) 881-6388. 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 Pennsylvania?
Independent External Review through PID. Free and binding. Submit a request at https://www.insurance.pa.gov/Consumers/Pages/Independent-External-Review.aspx.
Does Pennsylvania protect against surprise balance billing?
PA Act 146 of 2020 — surprise billing protections + federal NSA.
What if my appeal is denied by Pennsylvania 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 Pennsylvania Insurance Department regardless of appeal status.
Appeal your Pennsylvania 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