California Department of Managed Health Care. The California Department of Managed Health Care is responsible for regulating health care service plans. If you have a grievance against HPCC Professional Counseling Centers, you should first telephone HPCC Professional Counseling Centers at (0-000-000-0000) and use Xxxxxx Professional Counseling Centers grievance process before contacting the Department. Utilizing this grievance procedure does not prohibit any potential legal rights or remedies that may be available to you. If you need help with a grievance involving an emergency, a grievance that has not been satisfactorily resolved by HPCC Professional Counseling Centers, or a grievance that has remained unresolved for more than thirty (30) days, you may call the Department for assistance. You may also be eligible for an Independent Medical Review (IMR). If you are eligible for IMR, the IMR process will provide an impartial review of medical decisions made by HPCC Professional Counseling Centers related to the medical necessity of a proposed service or treatment, coverage decisions for treatments that are experimental or investigational in nature and payment disputes for emergency or urgent medical services. The Department also has a toll-free telephone number (0- 000-XXX-0000) and a TDD line (0-000-000-0000) for the hearing and speech impaired. The Department’s Internet website xxxx://xxx.xxxxxxx.xx.xxx has complaint forms, IMR application forms and instructions online. HPCC also has these forms available and will furnish them as appropriate.
California Department of Managed Health Care. The California Department of Managed Health Care is responsible for regulating health care service plans. If you have a grievance against Xxxxxx Professional Counseling Centers, you should first telephone Xxxxxx Professional Counseling Centers at (1-800-321-2843) and use Xxxxxx Professional Counseling Centers grievance process before contacting the Department. Utilizing this grievance procedure does not prohibit any potential legal rights or remedies that may be available to you. If you need help with a grievance involving an emergency, a grievance that has not been satisfactorily resolved by Xxxxxx Professional Counseling Centers, or a grievance that has remained unresolved for more than thirty (30) days, you may call the Department for assistance. You may also be eligible for an Independent Medical Review (IMR). If you are eligible for IMR, the IMR process will provide an impartial review of medical decisions made by Xxxxxx Professional Counseling Centers related to the medical necessity of a proposed service or treatment, coverage decisions for treatments that are experimental or investigational in nature and payment disputes for emergency or urgent medical services. The Department also has a toll-free telephone number (0-000-XXX-0000) and a TDD line (1-877-688- 9891) for the hearing and speech impaired. The Department's Internet website htttp://xxx.xxxxxxx.xx.xxx has complaint forms, IMR application forms and instructions online. Arbitration: If the Enrollee remains dissatisfied with the decision, the Enrollee may submit a request to HPCC to submit the grievance to binding Arbitration before the American Arbitration Association. Pursuant to California law a single neutral arbitrator who shall be chosen by the parties and who shall have no jurisdiction to award more than $200,000 must decide any claim of up to $200,000. However, after a request for arbitration has been submitted, HPCC and the Enrollee may agree in writing to waive the requirement to use a single arbitrator and instead use a tripartite arbitration panel that includes the two party-appointed arbitrators or a panel of three neutral arbitrators or another multiple arbitrator system mutually agreeable to the parties. The Enrollee shall have three (3) business days to rescind the waiver agreement unless the agreement has also been signed by the Enrollee's attorney, in which case the waiver cannot be rescinded. In cases of extreme hardship, HPCC may assume all or part of the Enrollee's share o...
California Department of Managed Health Care. The California Department of Managed Health Care is responsible for regulating health care service plans. If you have a grievance against Xxxxxx Professional Counseling Centers, Inc., you should first telephone Xxxxxx Professional Counseling Centers, Inc. at (0-000-000-0000) and use Xxxxxx Professional Counseling Centers, Inc., grievance process before contacting the Department. Utilizing this grievance procedure does not prohibit any potential legal rights or remedies that may be available to you. If you need help with a grievance involving an emergency, a grievance that has not been satisfactorily resolved by Xxxxxx Professional Counseling Centers, Inc., or a grievance that has remained unresolved for more than thirty (30) days, you may call the Department for assistance. You may also be eligible for an Independent Medical Review (IMR). If you are eligible for IMR, the IMR process will provide an impartial review of medical decisions made by Xxxxxx Professional Counseling Centers, Inc. related to the medical necessity of a proposed service or treatment, coverage decisions for treatments that are experimental or investigational in nature and payment disputes for emergency or urgent medical services. The Department also has a toll-free telephone number (1-888-HMO- 2219) and a TDD line (0-000-000-0000) for the hearing and speech impaired. The Department's Internet website htttp://xxx.xxxxxxx.xx.xxx has complaint forms, IMR application forms and instructions online.
California Department of Managed Health Care. The California Department of Managed Health Care is responsible for regulating health care service plans. If you have a grievance against your health plan, you should first telephone your health plan at the telephone number indicated on your Identification Card and use your health plan’s grievance process before contacting the Department. Utilizing this grievance procedure does not prohibit any potential legal rights or remedies that may be available to you. If you need help with a grievance involving an emergency, a grievance that has not been satisfactorily resolved by your health plan, or a grievance that has remained unresolved for more than 30 days, you may call the Department for assistance. You may also be eligible for an Independent Medical Review (IMR). If you are eligible for IMR, the IMR process will provide an impartial review of medical decisions made by a health plan related to the medical necessity of a proposed service or treatment, coverage decisions for treatments that are experimental or investigational in nature and payment disputes for emergency or urgent medical Services. The Department also has a toll-free telephone number (0-000-XXX-0000) and a TDD line (1-877-688- 9891) for the hearing and speech impaired. The Department’s Internet Web site (xxxx://xxx.xxxxxxx.xx.xxx) has complaint forms, IMR application forms and instructions online. In the event that Blue Shield should cancel or refuse to renew your enrollment and you feel that such action was due to reasons of health or utilization of benefits, you may request a review by the Department of Managed Health Care Director.
