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The Board first screens the complaint to determine if an investigation is warranted. If an investigation is deemed to be warranted then the matter is investigated by an investigator and attorney according to an investigative plan. The results are discussed with a case advisor. If no violation is found to have occurred then the complaint is dismissed. Otherwise, the case enters the legal action stage where attorneys pursue disciplinary action either through a settlement or a formal hearing.
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.