Common use of Submitting a grievance Clause in Contracts

Submitting a grievance. If you have a question about your Benefits or any action taken by Blue Shield (or a Benefit Administrator), your first step is to make an inquiry through Customer Service. If Customer Service is not able to fully address your concerns, you can then submit a grievance or ask the Customer Service representative to submit one for you. If Blue Shield denies authorization or coverage for health care services, you can appeal the denial and Blue Shield will reconsider your request. You have 180 days after a denial or other incident to submit your grievance to Blue Shield. Your provider, or someone you choose to represent you, can also submit a grievance on your behalf. The fastest way to submit a grievance is online at xxxxxxxxxxxx.xxx. You can also submit the form by mail or begin the grievance process by calling Customer Service. Where to mail grievances

Submitting a grievance. If you have a question about your Benefits or any action taken by Blue Shield (or a Benefit Administrator), your first step is to make an inquiry through Customer ServiceShield Concierge. If Customer Service Shield Concierge is not able to fully address your concerns, you can then submit a grievance or ask the Customer Service Shield Concierge representative to submit one for you. If Blue Shield denies authorization or coverage for health care services, you can appeal the denial and Blue Shield will reconsider your request. You have 180 days after a denial or other incident to submit your grievance to Blue Shield. Your provider, or someone you choose to represent you, can also submit a grievance on your behalf. The fastest way to submit a grievance is online at xxxxxxxxxxxx.xxx. You can also submit the form by mail or begin the grievance process by calling Customer ServiceShield Concierge. Where to mail grievances