Filing complaint with commissioner of Insurance

[Guest guest]

It looks like for the first time I am having to file a complaint against

an insurance company. I'm not sure how to do that, so I left a message

with the MT State Auditor's Office in the hopes that they can help me.

In the meantime, I thought I'd ask here if there are any guidelines that I

can look up somewhere.

We have a patient whose insurance is PEBP, which is contracted through

Beech Street. We have been a provider for Beech Street for several years.

A couple of years ago we terminated our participation in just one of their

products (Memberworks).

Even though they list us as a participating provider on their website, and

I confirmed membership with them before treatment was started, they

process our claims as out-of-network, which means the patient would be

responsible for 50% instead of 20%.

I have called numerous times and they keep telling me someone will get

back to me, which they don't. In the meantime, this patient has stopped

treatment because she is afraid that she will get stuck with the bill.

Is there anything else I can do other than putting in a complaint with the

commissioner of insurance?

Thanks for any suggestions.

Marita Mc

Billing Manager

Dana Austin Physical Therapy

Superior, MT