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HMO Complaint Information

How To Register A Complaint

As of November 1, 2003 the Oklahoma Insurance Department handles all complaints about possible violations of the HMO Act of 2003. To speed the processing of complaints, the State Department of Health (OSDH) encourages any person who wishes to file a complaint or grievance against an HMO to contact the Oklahoma Insurance Department. To access the Insurance Department Request for Assistance Form, click here, or call (405) 521-2991 or 1-800-522-0071. Complaints involving HMO problems can be submitted in writing either by letter or using the online complaint form available below. All complaints need to include the HMO name, the member's ID number, and a brief description of the problems you have encountered. Also, please include copies of any bills, documents, or correspondence you believe will assist us in reviewing this problem. Your complaint will be reviewed to ensure compliance with HMO laws and rules. Be sure to use dark ink and do not highlight. Otherwise, important data may not be legible. Complaints or grievances filed with the OSDH will be forwarded to the Oklahoma Insurance Department.

The Oklahoma Insurance Department mailing address is:

Oklahoma Insurance Department
Consumer Assistance/Claims Division
2401 NW 23rd Street, Suite 28
PO Box 53408

Oklahoma City, OK 73152-3408

If you would like to receive a complaint form or speak to someone at the State Health Department about your situation, feel free to call us at (405) 271-6868.

As per HCR1081, the OSDH provides two types of HMO Complaint forms in order for you to register complaints with this agency from the Internet. An online form is available that will be sent by e-mail to the webmaster of the OSDH web site. Please click here to register complaints online with the OSDH. This version of the form may not provide the confidentiality you require. If a plain text version of the form which may be printed out and sent by regular mail is preferred, click here. If you have supporting documents such as copies of any bills, documents, or correspondence that you believe will assist us in reviewing this problem, please use the plain text version of this form. 

The OSDH Health Resources Development Service mailing address is:

Oklahoma State Department of Health
Protective Health Services
Health Resources Development Service
Managed Care Systems
1000 N.E. 10th Street
Oklahoma City, OK 73117-1299

The text version of the form also provides the mailing address of the OSDH Health Resources Development Service.

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