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The Complaint Unit has the responsibility of reviewing all complaints that are filed. Then, the complaint is forwarded to the appropriate Board within the Department of Health. At that point a determination is made about whether the complaint is within the proper jurisdiction and should be opened and investigated. If a decision is made to go forward with the investigation then the licensee is notified and his or her response to the allegations is requested. Other materials, such as medical records, may also be considered during the investigation. After the investigation, the Board will issue its findings to both the complainant and the licensee and issue sanctions, if appropriate, against the licensee.
This article is intended to be helpful and informative. But even common legal matters can become complex and stressful. A qualified health insurance lawyer can address your particular legal needs, explain the law, and represent you in court. Take the first step now and contact a local health insurance attorney to discuss your specific legal situation.