Instructions

Step 1 of 7
Welcome:

Welcome to the State of Connecticut Office of the Healthcare Advocate (OHA) on-line complaint system. OHA provides free assistance for consumers with health plan selection, as well as direct advocacy with appeals of a healthcare plan's denial of a claim or service. If you've had a service denied and would like to appeal, or would simply like information about your rights and options, you can complete this form and we will contact you within 1-2 business days. If you do not have a specific complaint, but are looking for general information about healthcare or insurance, our web site contains a host of useful information, and can be found at www.ct.gov/oha.

Filing a complaint:

There are several other ways to submit a complaint to the Office of the Healthcare Advocate, and these may be found at www.ct.gov/oha, but you are strongly encouraged to file your complaint online. It is easy to do and saves the time and expense of mailing a paper form or letter. After you complete your complaint on-line, it will be assigned to a case manager the next business day. They will contact you via e-mail with information on how the complaint process will proceed. As we will be contacting you via e-mail, you must have a valid e-mail address in order to complete the on-line complaint form.

Attachments:

After entering information about your complaint, you will have the opportunity to attach copies of any available material/documents pertinent to and in support of your complaint, for example: medical bills, explanation of benefits, letter denying coverage of a service, correspondence you have written or received or any other documentation relevant to your complaint. These materials must be in an electronic format (scanned) in order to be attached. The materials must also be on the computer that you are using to enter this complaint.

If you wish to attach documents electronically, but have not yet scanned them, please do so before starting the complaint entry process. If you cannot attach documents to your complaint electronically, you may mail or fax them to the Office of the Healthcare Advocate.

Please Note: Each section must be completed within 30 minutes. If more time is needed to complete a section, you must click either the Next or Back buttons at the bottom of the screen to reset the timer. If you do not click either button within 30 minutes, data entered on the previous screen(s), including the current screen will be lost and you will have to start over. Therefore, it is in your best interest to complete your entire complaint within 30 minutes.