Central California Alliance for Health | Living Healthy | June 2019
HEALTHY 2 IF YOU WOULD RATHER talk to us about the problem, we’re here to help. Call our Member Services Department at (800) 700-3874 . You can also file a complaint or appeal in writing through our website, www.ccah-alliance.org . Go to the “Members” page, and click on “Grievance Form.” We want you to be happy with your health care and our service. But sometimes you might not be. When that’s the case, we want to hear about it. If you are not happy with a provider or the provider’s office, it’s best to talk to them first. Let someone in the office know what happened. Ask him or her for help fixing the problem. The same goes if you are not happy with your experience in a hospital or other facility. Ask to speak with a nurse, social worker or patient advocate. If you are getting a bill for services covered by the Alliance, call the We are committed to your satisfaction billing department at the number on the statement. Let them know what insurance you have (the Alliance), and ask them to forward the bill to us. You may file a complaint with us if you are not happy with: ● ● The care your doctor is providing or how you were treated in the office ● ● Being able to get the care you need ● ● The services you get from the Alliance There are other reasons you might file a grievance or complaint with us. These are listed in your Member Handbook. You may file an appeal with us if you are not happy with: ● ● A decision we have made to change or deny services. This can be done in writing or through our website as stated below. Once you let us know about your complaint or appeal, someone will look into it. We’ll do all we can to help you. If you are still unhappy after we try to resolve your case, we will tell you what steps you can take next.
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