Grievance Intake
Record and submit member grievances for investigation and resolution
New Grievance Submission
Member Information
Grievance Details
Minimum 50 characters. Be specific about the concern and any immediate impact on the member's health.
Priority Classification
📋 Standard
30-day resolution · No immediate health risk
⚡ Expedited
24-hour resolution · Serious health risk or life-threatening
Supporting Documents
📎
Drag & drop files here or click to browse
PDF, JPG, PNG · Max 10MB per file
SLA Deadlines
ACKNOWLEDGMENT DUE
Jan 29, 2025
5 business days from receipt
RESOLUTION DEADLINE
Feb 21, 2025
30 calendar days (standard)
Recent Submissions
Category Reference
Quality: Diagnosis, treatment, medication errors
Access: Appointment delays, provider availability
Billing: Incorrect charges, EOB disputes, copays
Service: Staff behavior, communication issues
Provider: Specific provider conduct complaints