Common use of Complaint and Grievance Procedures Clause in Contracts

Complaint and Grievance Procedures. A quality of service concern addresses Our services, access, availability or attitude and those of Participating Providers. A quality of care concern addresses the appropriateness of care given to a Member. To Register a Complaint A Complaint is an oral expression of dissatisfaction with Us, UCD or with Provider services. Members may call UCD at 0-000-000-0000 to register a Complaint. UCD will attempt to resolve the Member’s Complaint at the time of the call. To File a Formal Grievance A Grievance is a written expression of dissatisfaction with Us, UCD or with Provider services. If the Member does not feel his Complaint was adequately resolved or he wishes to file a formal Grievance, a written request must be submitted within one hundred eighty (180) days of the event that led to the dissatisfaction. UCD Customer Service Department will assist the Member if necessary. The Member should send his written Grievance to: United Concordia Dental Customer Service P.O. Box 69420 Harrisburg, PA 17106-9420 A response will be mailed to the Member within thirty (30) business days of receipt of the Member’s written Grievance.

Appears in 2 contracts

Samples: Limited Benefit Contract, Limited Benefit Contract

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Complaint and Grievance Procedures. A quality of service concern addresses Our services, access, availability or attitude and those of Participating Providers. A quality of care concern addresses the appropriateness of care given to a Member. To Register a Complaint A Complaint is an oral expression of dissatisfaction with Us, UCD or with Provider services. Members may call UCD at 0-000-000-0000 to register a Complaint. UCD will attempt to resolve the Member’s Complaint at the time of the call. To File a Formal Grievance A Grievance is a written expression of dissatisfaction with Us, UCD or with Provider services. If the Member does not feel his Complaint was adequately resolved or he wishes to file a formal Grievance, a written request must be submitted within one hundred eighty (180) days of the event that led to the dissatisfaction. UCD Customer Service Department will assist the Member if necessary. The Member should send his written Grievance to: to:‌ United Concordia Dental Customer Service P.O. Box 69420 HarrisburgX.X. Xxx 00000 Xxxxxxxxxx, PA 17106XX 00000-9420 0000 A response will be mailed to the Member within thirty (30) business days of receipt of the Member’s written Grievance.

Appears in 1 contract

Samples: Limited Benefit Contract

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Complaint and Grievance Procedures. A quality of service concern addresses Our services, access, availability or attitude and those of Participating Providers. A quality of care concern addresses the appropriateness of care given to a Member. To Register a Complaint A Complaint is an oral expression of dissatisfaction with Us, UCD or with Provider services. Members may call UCD at 0-000-000-0000 to register a Complaint. UCD will attempt to resolve the Member’s Complaint at the time of the call. To File a Formal Grievance A Grievance is a written expression of dissatisfaction with Us, UCD or with Provider services. If the Member does not feel his Complaint was adequately resolved or he wishes to file a formal Grievance, a written request must be submitted within one hundred eighty (180) days of the event that led to the dissatisfaction. UCD Customer Service Department will assist the Member if necessary. The Member should send his written Grievance to: United Concordia Dental Customer Service P.O. P. O. Box 69420 Harrisburg, PA 17106-9420 A response will be mailed to the Member within thirty (30) business days of receipt of the Member’s written Grievance.

Appears in 1 contract

Samples: Limited Benefit Contract

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