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  1. Managed care plans certified by the Department of Health must have a process to receive and respond to complaints and grievances. Many issues can be resolved with a phone call to your plan. Contact Government Agencies. Managed care enrollees and providers can file a complaint with certain government agencies.

  2. Health plans must have a grievance and utilization review process in place for you to appeal coverage denials. The following provides detailed information on each of these important protections. Also, be sure to check your health insurance contract for the terms and conditions of your coverage.

  3. The New York Consumer Guide to Health Insurers contains a ranking of HMOs and health insurance companies based on complaint statistics and enrollee satisfaction surveys and includes information on the number of successful appeals to independent external review agents.

  4. 31 mar 2022 · The New York State Division of Consumer Protection (DCP) reminds New Yorkers of their rights as they plan spring and summer travel. Travel disputes remain one of the top complaints handled by DCP. In 2021, DCP fielded hundreds of complaints from consumers who had to cancel or reschedule their travel plans due to COVID-19.

  5. Complaints Each year, the New York State DFS and DOH receive complaints from consumers and health care providers about health insurance companies. Complaints handled by DFS typically involve issues related to prompt payment, reimbursement, coverage, network adequacy, benefits, rates, and premiums.

  6. The Office of Professional Medical Conduct reviews all complaints of professional medical misconduct against licensed physicians, physician assistants and specialist assistants, including complaints of sexual harassment and assault.

  7. Consumers and providers will also find information on how to file a confidential complaint about healthcare quality, review public health laws and regulations, and gain access to clinical guidelines and other healthcare best practices. Complaints about Care. Adult Care and Assisted Living: 1-866-893-6772. Funeral Homes/Directors: 518-402-0785.