Denial of Reimbursement by an Insurance Company
Reimbursement decisions are based solely on the insurance contract between the insured person and the insurance company.
Neither the CPMDQ nor the practitioner is a party to that contract. Neither may intervene in an insurance dispute, claim review, appeal, or litigation between an insured person and their insurance company. A practitioner’s role is limited to issuing an accurate receipt for services personally rendered, in accordance with their professional obligations.
The CPMDQ does not participate in insurance reimbursement processes and does not hold information concerning insured individuals or their claims. Any question regarding a denied claim, its review, or a dispute must be addressed directly by the insured person to their insurance company.
To confirm that a practitioner is an active CPMDQ member, insurance companies must use the public verification portal:
https://cpmdq.com/en/verfier-le-statut-dun-membre/
Summary
- The CPMDQ does not intervene in reimbursement decisions, insurance disputes, or litigation.
- CPMDQ practitioners do not intervene in an insured person’s dispute with their insurance company.
- Insurance companies apply their own procedures under the insured person’s insurance contract.
- A practitioner’s role is limited to issuing an accurate receipt for services personally rendered.
- Member status can be verified through the CPMDQ public portal.
Important Note
The CPMDQ provides this information for general purposes only. For questions regarding coverage, a reimbursement refusal, or a claim dispute, please contact your insurance company directly.