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Texas Department of Insurance
Topics:   A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All

For providers: Filing a complaint for health plans that TDI doesn’t regulate

TDI doesn’t regulate:

  • Medicare, Medicaid.
  • CHIP plans that aren’t HMOs.
  • Military plans.
  • City, county, state, and federal employee plans.
  • Teacher plans.

For certain out-of-network claim disputes, learn about mediation and arbitration.

Health plan Organization Contact information
Children's Health Insurance Program (CHIP) Health and Human Services Commission File a complaint online with HHSC.
City and county employees Cities and counties regulate their own insurance programs. Send a written appeal or complaint to the address in your patient's benefit booklet.
Federal employees (including postal workers) United States Office of Personnel Management Contact OPM.
Health share ministries Office of the Attorney General of Texas Contact the AG.
Medicaid Texas Health and Human Services Commission File a complaint online with HHSC.
Medicare U. S. Department of Health and Human Services Contact Novitas Solutions, Inc.
Medicare Risk (HMO) Medicare Risk plans (also known as Medicare+Choice plans) Call your HMO plan.
Military servicemembers TRICARE Standard Contact TRICARE.
Self-funded plans U.S. Department of Labor Contact DOL.
State employees Employee Retirement System Contact ERS.
Texas Association of School Boards (TASB) TASB Contact TASB.
TRS-CARE Teacher Retirement System of Texas Contact TRS.
University of Texas employees The University of Texas System Contact the UT system.

Questions? Call us at 800-252-3439.

Last updated: 4/25/2022