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Texas Department of Insurance
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Guidelines for filing complaints from providers about health claim payments

TDI regulates HMO and fully insured health plans, which represent less than a quarter of the health insurance sold in Texas. Providers and their third-party billing services with complaints about health claim payments can get help from TDI or another agency.

Complain to the right agency

If the patient’s ID card says "TDI" or "DOI" on the front, complain to TDI.

For complaints about other types of health plans, contact the appropriate agency for help. To contact other agencies for help, visit For providers: Filing a complaint for health plans that TDI doesn’t regulate.

To find out more about mental health parity, visit How to get help with a mental health issue.

File a complaint with TDI

  1. Get a copy of the front of the patient’s health insurance ID card.
  2. Use our online complaint system. After answering some questions, you will be asked if you want to upload supporting documents. You must upload a copy of the patient’s health insurance ID card before we can help with your complaint.

Find out more about mental health parity here.

Question? Call us at 800-252-3439.

Last updated: 1/2/2023