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A Medicare member calls upset because their wheelchair delivery is delayed.
Medicare Grievance
A Medicaid member appeals a denial of PCA services that were deemed “not medically necessary.”
Medicaid Appeal, Non -UR
A Child Health Plus (CHP) member’s parent calls because the provider’s staff was rude during their visit.
Medicaid Grievance, Chp
A Medicare member says: “I want my claim reconsidered — I already paid $500 out-of-pocket.”
Medicare Appeal
A Commercial plan member asks: “Is acupuncture covered under my plan?”
Inquiry