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This version of the form is not currently in use and is provided for reference only. Download this version of
Form INS0505
for the current year.
Form INS0505 Provider Complaint - Ohio
What Is Form INS0505?
This is a legal form that was released by the Ohio Department of Insurance - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is form INS0505 Provider Complaint?
A: Form INS0505 Provider Complaint is a document used in Ohio to file a complaint against a healthcare provider.
Q: Who can use form INS0505 Provider Complaint?
A: Anyone who has a complaint against a healthcare provider in Ohio can use form INS0505 Provider Complaint.
Q: What information is required in form INS0505 Provider Complaint?
A: Form INS0505 Provider Complaint requires information such as the provider's name, details of the complaint, and contact information of the complainant.
Q: What should I do after filling out form INS0505 Provider Complaint?
A: After filling out form INS0505 Provider Complaint, you should submit it to the Ohio Department of Insurance for review and investigation.
Q: What is the purpose of form INS0505 Provider Complaint?
A: Form INS0505 Provider Complaint is used to address and resolve complaints against healthcare providers in Ohio.
Q: Is there a fee for filing form INS0505 Provider Complaint?
A: No, there is no fee for filing form INS0505 Provider Complaint in Ohio.
Q: Can I file a complaint against any type of healthcare provider using form INS0505 Provider Complaint?
A: Yes, you can file a complaint against any type of healthcare provider in Ohio using form INS0505 Provider Complaint.
Q: What should I do if I have further questions about form INS0505 Provider Complaint?
A: If you have further questions about form INS0505 Provider Complaint, you can contact the Ohio Department of Insurance for assistance.
Form Details:
- Released on January 1, 2019;
- The latest edition provided by the Ohio Department of Insurance;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form INS0505 by clicking the link below or browse more documents and templates provided by the Ohio Department of Insurance.
