Grievances and Appeals
Your health plan is responsible for addressing grievances and appeals. Here at Canopy Health, we support you in that process by helping you to navigate how to get help with concerns about your healthcare and how it is delivered.
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).
Instructions to file a grievance or appeal are on the form.