The Texas Department of Insurance assists consumers with insurance-related complaints. TDI’s web page, “Helping You With Your Insurance Complaint” explains how TDI can help you with your insurance problem as well as how to file a complaint.
If you are an employee or family member of an employee who receives health benefits from a health plan provided through employment in the private sector, the federal Employee Retirement Income Security Act protects you. Among the protections, ERISA sets standards for administering these plans. Those standards require plans to give you important information and to have a fair process for handling benefit claims. These claims and complaints are not handled by the Texas Department of Insurance, but are handled by the U.S. Department of Labor. Information on how to file a benefits claim or appeal a denied claim may be found here.
If you have a complaint about your bill, first contact the provider of the service. Additional information about making complaints about hospital services is available under the "Hospitals" tab.