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Denied Access to Insurance Panel Report Form

GPA Members,

There are a number of psychologists who have been unreasonably denied access to insurance panels and networks. Although our state has an Any Willing Provider law, it is neither well written nor consistently enforced. I have asked for examples of denials on our listserv. From the responses I have received so far, seven (7) people have had problems with United, five (5) with Cenpatico, one (1) with WellCare, one (1) with Kaiser, and three (3) with CIGNA.

The Insurance and Managed Care Committee has formulated a strategy to address this. To fully address this, however, we need to hear from everyone who has been unreasonably denied access to insurance panels. If you have been denied access, please fill out the following form.

Additionally, I suggest that you immediately file a formal complaint with the Insurance Commissioner's office. A sample letter of complaint can be accessed by clicking here. If the insurance commissioner refuses to act on your behalf, please forward whatever correspondence you have about this denial to me. We will then compose a formal letter on behalf of GPA protesting the Commissioner's lack of action. We would also ask that if the insurance commissioner refuses to act on your behalf, you should contact both your state representative and your state senator about this lack of action. If, as we suspect will happen, the Insurance Commissioner refuses to act, we want to create as much awareness as possible in the legislature about this issue. Depending on the results of these actions, we may then pursue further legal or legislative action.

 

Thank you,

Frank Harbin, PhD
Chair, Insurance and Managed Care Committee
fharbin@harbinclinic.com