Common use of Appeals and Complaints Clause in Contracts

Appeals and Complaints. A. Contacting Community Health Options® (Health Options) Member Services Health Options’ Member Services Associates are available to assist Members in the resolution of complaints. If you have a complaint, we recommend that you contact a Member Services Associate before filing an Appeal. Sometimes, an issue is caused by a minor error or problem that can be resolved by a Member Services Associate without having to go through the Appeal process. You may file an Appeal at any time. You may make a complaint by calling Member Services at 1-855-624-6463 (TTY/TDD: 711). You can also make a written complaint by mailing or faxing it to: Community Health Options Attn: Member Services Mail Stop 100 P.O. Box 1121 Lewiston, ME 04243 Fax: 000-000-0000 After we receive your complaint, a Member Services Associate will look into it and respond. Please contact Member Services if you have questions. Health Options will respond to you as quickly as we can. Most complaints can be investigated and responded to within 30 days. If you disagree with our response, you may be able to file an Appeal. If you are not satisfied with the results of your Complaint or Appeal, you have the right to submit a complaint to the Maine Bureau of Insurance: Maine Bureau of Insurance 00 Xxxxx Xxxxx Xxxxxxx Xxxxxxx, XX 00000 Telephone: 0-000-000-0000 (within Maine) or 0-000-000-0000 (outside Maine)

Appeals and Complaints. A. Contacting Community Health Options® (Health Options) Member Services Health Options’ Member Services Associates are available to assist Members in the resolution of complaints. If you have a complaint, we recommend that you contact a Member Services Associate before filing an Appeal. Sometimes, an issue is caused by a minor error or problem that can be resolved by a Member Services Associate without having to go through the Appeal process. You may file an Appeal at any time. SAMPLE You may make a complaint by calling Member Services at 1-855-624-6463 (TTY/TDD: 711). You can also make a written complaint by mailing or faxing it to: Community Health Options Attn: Member Services Mail Stop 100 P.O. Box 1121 Lewiston, ME 04243 Fax: 000-000-0000 After we receive your complaint, a Member Services Associate will look into it and respond. Please contact Member Services if you have questions. Health Options will respond to you as quickly as we can. Most complaints can be investigated and responded to within 30 days. If you disagree with our response, you may be able to file an Appeal. If you are not satisfied with the results of your Complaint or Appeal, you have the right to submit a complaint to the Maine Bureau of Insurance: Maine Bureau of Insurance 00 Xxxxx Xxxxx Xxxxxxx Xxxxxxx, XX 00000 Telephone: 0-000-000-0000 (within Maine) or 0-000-000-0000 (outside Maine)

Appeals and Complaints. A. Contacting Community Health Options® (Health Options) Member Services Health Options’ Member Services Associates are available to assist Members in the resolution of complaints. If you have a complaint, we recommend that you contact a Member Services Associate before filing an Appeal. Sometimes, an issue is caused by a minor error or problem that can be resolved by a Member Services Associate without having to go through the Appeal process. You may file an Appeal at any time. You may make a complaint by calling Member Services at 1-855-624-6463 (TTY/TDD: 711). You can also make a written complaint by mailing or faxing it to: Community Health Options Attn: Member Services Mail Stop 100 P.O. Box 1121 Lewiston, ME 04243 Fax: 000-000-0000 After we receive your complaint, a Member Services Associate will look into it and respond. Please contact Member Services if you have questions. Health Options will respond to you as quickly as we can. Most complaints can be investigated and responded to within 30 days. If you disagree with our response, you may be able to file an Appeal. If you are not satisfied with the results of your Complaint or Appeal, you have the right to submit a complaint to the Maine Bureau of Insurance: Maine Bureau of Insurance 00 Xxxxx Xxxxx Xxxxxxx Xxxxxxx, XX 00000 SAMPLE Telephone: 0-000-000-0000 (within Maine) or 0-000-000-0000 (outside Maine)