Member Complaints. HMO must submit a quarterly summary report of Member complaints. The report must show the date upon which each complaint was filed, a summary of the facts surrounding the complaint, the date of the resolution of the complaint, an explanation of the procedure followed, and the outcome of the complaint process. It should also include the Member Advocate Report (see Article 8.
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Sources: Contract for Services (Centene Corp)
Member Complaints. HMO must submit a quarterly summary report of Member complaints. The report must show the date upon which each complaint was filed, a summary of the facts surrounding the complaint, the date of the resolution of the complaint, an explanation of the procedure followed, and the outcome of the complaint process. It should also include the Member Advocate Report (see refer to Article 8.
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