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Insurance Claims Assistance: Department of Insurance

By Adrienne Hersh, JD, ICS Legal Counsel · October 1, 200815 min read

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You may know that the Illinois Division of Insurance (DOI) can assist patients with certain health insurance issues. But did you know that the agency can also assist health care providers in certain cases?

We will examine in detail what types of provider complaints the Division of Insurance handles and how to file a complaint as a health care provider. Much of this information comes from the Division of Insurance web site, http://insurance.illinois.gov/, an excellent, detailed resource containing sections geared specifically toward assisting providers. Click on "Consumer/Provider," then on "Health Care Provider Information," and it will guide you step by step through the laws the agency enforces and how to file complaints.

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About the Author

Adrienne Hersh, JD, ICS Legal Counsel

Adrienne serves as Illinois Chiropractic Society general counsel and provides legal advice and support on a wide range of legal issues affecting chiropractic physicians, including licensing and other health care regulations, scope of practice, insurance and reimbursement, business structuring, labor and employment, contracts, and litigation. Adrienne previously served for 8 years as general counsel to the Illinois Department of Professional Regulation (now the Division of Professional Regulation, Department of Financial and Professional Regulation), where she was chief legal counsel responsible for overseeing all legal issues and advising the 50+ licensing and disciplinary boards, including the Medical Disciplinary Board and the Medical Licensing Board. She is a member of the Illinois State Bar Association Health Care Section, the Illinois Association of Healthcare Attorneys, and the National Association of Chiropractic Attorneys.