Grievances and Appeals
We ensure that our members concerns about their healthcare and how it is delivered are addressed promptly and respectfully.
What’s the difference between a grievance and an appeal?
- Grievance: a complaint about the quality of healthcare you received or how it was delivered (customer service)
- Appeal: a request to reconsider a decision made to deny coverage or restrict approval for a healthcare service you wish to receive
How to file an appeal or grievance?
Please complete the form for your specific health plan and submit it directly to your insurance carrier (not to Canopy Health).