Insurance Complaints

GCA is gathering insurance complaints from patients and providers that illustrate copays for chiropractic care are unreasonable. Download the forms below, fill them out and send them to sgonzalez@gachiro.org or via fax to 770-723-1722.

Click here to download a PATIENT complaint form.

Click here to download a PROVIDER complaint form.

To help ensure that The Georgia Department of Insurance receives all necessary information to investigate your complaint, include the following information with your complaint:

• your name, address, daytime telephone number and email address
• the exact name of the insurance company
• the full name of any agent or adjuster who may be involved
• your policy number
• your claim number and the date of your loss, if applicable
• a copy of both sides of your insurance card
• a concise description of your problem
• copies of all supporting documentation, including invoices, canceled checks, advertising materials, and any letters between you and the company or agent