Examples of Complaint Review Committee in a sentence
The second level internal Complaint Review Committee will review the Complaint and reach a decision within thirty (30) days and will notify the Member and the Member’s representative if applicable of the decision in writing within five business days.
At least one-third of the second level internal Complaint Review Committee will be individuals who are not employed by the HMO or a related subsidiary or affiliate.
The second level internal Complaint Review Committee, consisting of three (3) or more individuals who did not participate in the first level Complaint review and are not directly supervised by any previous decision makers, will review the Complaint.
A Member who is dissatisfied with the decision of the First Level Complaint Review Committee may request orally or in writing a voluntary Second Level Complaint Review.
If the Customer Service Team representative is unable to resolve the Member’s concern to his satisfaction, the Member may file a written or oral Complaint that will be reviewed by the First Level Complaint Review Committee.