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 [email protected] 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