Contact Member Services Sample Clauses

Contact Member Services. A Grievance can be provided to us verbally or in writing in any form, by the Insured or on behalf of the Insured. Contact our Member Services team at [000-000-0000, TTY: 000-000-0000] or by email to [xxxxxxxxxx@xxxxxxxxx.xxx] if there is a concern regarding a person, a service, the quality of care, contractual benefits, or a rescission of coverage. Written complaints or Grievances can also be mailed to us at US Health and Life Insurance Company, [PO Box 1707, Troy, MI 48099-1707]. We will send an acknowledgement letter upon our receipt of your grievance. An appeal is a request to reconsider a decision about your benefits where either a service or claim has been denied. This includes a request for us to reconsider our decision to deny, modify, reduce, or terminate payment, coverage, authorization, or provision of healthcare service or benefits, including the admission to, or continued stay in, a healthcare facility. Failure to approve or deny a prior authorization request in a timely manner may be considered as a denial and subject to the appeal process. Rescissions and certain determinations that involve whether we complied with the surprise billing requirements and cost-protections of the No Surprises Act. To file an appeal, you can mail or email your request to us at: US Health and Life Insurance Company [PO Box 1707 Troy, MI 48099-1707 xxxxxxxxxx@xxxxxxxxx.xxx]