Reimbursement Dispute Alert Mechanism

Report a Reimbursement Dispute

Our organization is taking action for our members.

This program is an effort to identify trends and address the inappropriate business and reimbursement tactics of insurance carriers. We hope this program will enable us to aggregate data on the activities of particular carriers and assist our members in addressing unfair tactics with the Office of Insurance Regulation.

Please note this is a tracking mechanism and not a formal dispute resolution process. For information on how to file a formal complaint, please contact our office fcobbe@cobbemanagement.com.

Question Title

* 1. Insurance Company Name

Florida Blue

United Health Care

Cigna

Aetna

Other (please specify)

Question Title

* 2. Type of Insurance Coverage

Commercial HMO

Commercial PPO

Affordable Care Act - Exchange Plan

Medicare - Traditional

Medicare - HMO (Replacement)

Medicaid - Traditional

Medicaid - HMO

Tricare

Workers Compensation

Auto

Other (please specify)

Question Title

* 3. Date of Service

Question Title

* 4. Can you characterize the dispute from the list below of common reimbursement disputes?

Denial after receiving Authorization

Non-covered Benefit

Patient Failed to Pay Premiums (Grace Period)

Calculation of Usual & Customary Charges

Not Paid at Correct Contracted Rate

Timely Filing Dispute

Denied for Records not submitted

Other (please specify)

Reimbursement Dispute Alert Mechanism

Report a Reimbursement Dispute

Question Title

* 1. Insurance Company Name

Question Title

* 2. Type of Insurance Coverage

Question Title

* 3. Date of Service

Question Title

* 4. Can you characterize the dispute from the list below of common reimbursement disputes?

Question Title

* 5. Amount of the charge in question?

Question Title

* 6. Your Name

Question Title

* 7. Practice Name

Question Title

* 8. Your Email Address