Common use of To File a Formal Grievance Clause in Contracts

To File a Formal Grievance. A Grievance is a written expression of dissatisfaction with Us, UCD or with Provider services. If You do not feel Your Complaint was adequately resolved or You wish to file a formal Grievance, You must submit this in writing within one hundred eighty (180) days of the event that lead to the dissatisfaction. UCD Customer Service Department will assist You if necessary. Send Your written Grievance to: United Concordia Dental Customer Service P.O. Box 69420 Harrisburg, PA 17106-9420 A response will be mailed to You within thirty (30) business days of receipt of Your written Grievance.

Appears in 2 contracts

Samples: Limited Benefit Contract, Limited Benefit Contract

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To File a Formal Grievance. A Grievance is a written expression of dissatisfaction with Us, UCD Claims Administrator or with Provider servicesa Provider. If You do the Member does not feel Your his Complaint was adequately resolved or You wish he wishes to file a formal Grievance, You a written request must submit this in writing be submitted within one hundred eighty (180) days of the event that lead led to the dissatisfaction. UCD Customer Service Department will assist You the Member if necessary. Send Your written Grievance to: United Concordia Dental Customer Service P.O. Box 69420 Harrisburg, PA 17106-9420 A response will be mailed to You the Member within thirty (30) business days of receipt of Your after We receive the Member’s written Grievance.

Appears in 1 contract

Samples: Limited Benefit Contract

To File a Formal Grievance. A Grievance is a written expression of dissatisfaction with Us, UCD or with Provider services. If You do not feel Your Complaint was adequately resolved or You wish to file a formal Grievance, You must submit this in writing within one hundred eighty (180) days of the event that lead to the dissatisfaction. UCD Customer Service Department will assist You if necessary. Send Your written Grievance 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 You within thirty (30) business days of receipt of Your written Grievance.

Appears in 1 contract

Samples: Individual Dental Contract

To File a Formal Grievance. A Grievance is a written expression of dissatisfaction with Us, UCD or with Provider services. If You do the Member does not feel Your his Complaint was adequately resolved or You wish he wishes to file a formal Grievance, You a written request must submit this in writing be submitted within one hundred eighty (180) days of the event that lead led to the dissatisfaction. UCD Customer Service Department will assist You the Member if necessary. Send Your written Grievance 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 You the Member within thirty (30) business days of receipt of Your the Member’s written Grievance.

Appears in 1 contract

Samples: Limited Benefit Contract

To File a Formal Grievance. A Grievance is a written expression of dissatisfaction with Us, UCD Us or with Provider services. If You do not feel Your Complaint was adequately resolved or You wish to file a formal Grievance, You must submit this in writing within one hundred eighty (180) 180 days of the event that lead to the dissatisfaction. UCD Our Customer Service Department will assist You if necessary. Send Your written Grievance to: United Concordia Dental Customer Service P.O. Box 69420 Harrisburg, PA 17106-9420 A response will be mailed to the You within thirty (30) business days of receipt of after We receive the Your written Grievance.

Appears in 1 contract

Samples: Individual Dental Contract

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To File a Formal Grievance. A Grievance is a written expression of dissatisfaction with Us, UCD or with Provider services. If You do not feel Your Complaint was adequately resolved or You wish to file a formal Grievance, You must submit this in writing within one hundred eighty (180) days of the event that lead to the dissatisfaction. UCD Customer Service Department will assist You if necessary. Send Your written Grievance to: United Concordia Dental Customer Service P.O. Box 69420 Harrisburg, PA 17106-9420 A response will be mailed to the You within thirty (30) business days of receipt of Your written Grievance.

Appears in 1 contract

Samples: Individual Dental Contract

To File a Formal Grievance. A Grievance is a written expression of dissatisfaction with Us, UCD or with Provider services. If You do not feel Your Complaint was adequately resolved or You wish to file a formal Grievance, You must submit this in writing within one hundred eighty (180) days of the event that lead to the dissatisfaction. UCD Customer Service Department will assist You if necessary. Send Your written Grievance to: United Concordia Dental Customer Service P.O. Box 69420 Harrisburg, PA 17106-9420 A response will be mailed to You within thirty (30) business days of receipt of Your written Grievance.

Appears in 1 contract

Samples: Individual Dental Contract

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