Common use of Filing a Grievance Clause in Contracts

Filing a Grievance. If a Member’s complaint cannot be resolved informally, it may be submitted to AvMed in writing. We call this ‘filing a Grievance’. A Grievance is any complaint relating to Plan services, other than one that involves a request (Claim) for benefits or an appeal of an Adverse Benefit Determination. Grievances must be filed within 365 days of the occurrence of the event or action that led to the Grievance. Grievances will be deemed to have been filed on the date received by AvMed, and will be processed through AvMed’s formal Member Grievance Procedures. AvMed will acknowledge and investigate the Grievance and provide a written response advising of the disposition within 60 days after receipt of the Grievance. a. Grievances relating to Plan services may be submitted in writing to: AvMed Member Engagement Center P.O. Box 569008 Miami, Florida ▇▇▇▇▇-▇▇▇▇ Telephone: ▇-▇▇▇-▇▇▇-▇▇▇▇ Fax: (▇▇▇) ▇▇▇-▇▇▇▇ b. If you are not satisfied with ▇▇▇▇▇’s final decision, you may file a written Grievance with the Department of Financial Services (DFS) within 365 days of receipt of AvMed’s final decision letter. You also have the right to contact DFS at any time to inform them of an unresolved Grievance. DFS may be contacted at the address below: Florida Department of Financial Services ▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇ Tallahassee, Florida 32399 Telephone: ▇-▇▇▇-▇▇▇-▇▇▇▇

Filing a Grievance. If a Member’s complaint cannot be resolved informally, it may be submitted to AvMed in writing. We call this ‘filing a Grievance’. A Grievance is any complaint relating to Plan services, other than one that involves a request (Claim) for benefits or an appeal of an Adverse Benefit Determination. Grievances must be filed within 365 days one (1) year of the occurrence of the event or action that led to the Grievance. Grievances will be deemed to have been filed on the date received by AvMed, and will be processed through AvMed’s formal Member Grievance Procedures. AvMed will acknowledge and investigate the Grievance and provide a written response advising of the disposition within 60 days after receipt of the Grievance. a. Grievances relating to Plan services may be submitted in writing to: AvMed Member Engagement Center P.O. Box 569008 Miami, Florida ▇▇▇▇▇-▇▇▇▇ Telephone: ▇-▇▇▇-▇▇▇-▇▇▇▇ Fax: (▇▇▇) ▇▇▇-▇▇▇▇ b. If you are not satisfied with ▇▇▇▇▇’s final decision, you may file a written Grievance with the Department of Financial Services (DFS) within 365 days one (1) year of receipt of AvMed▇▇▇▇▇’s final decision letter. You also have the right to contact DFS at any time to inform them of an unresolved Grievance. DFS may be contacted at the address below: Florida Department of Financial Services ▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇ Tallahassee, Florida 32399 Telephone: ▇-▇▇▇-▇▇▇-▇▇▇▇

Filing a Grievance. If a Member’s complaint cannot be resolved informally, it may be submitted to AvMed in writing. We call this ‘filing a Grievance’. A Grievance is any complaint relating to Plan services, services other than one that involves a request (Claim) for benefits benefits, or an appeal of an Adverse Benefit Determination. Grievances must be filed within 365 days of the occurrence of the event or action that led to the Grievance. Grievances will be deemed to have been filed on the date received by AvMed, and will be processed through AvMed’s formal Member Grievance Procedures. AvMed will acknowledge and investigate the Grievance and provide a written response advising of the disposition within 60 days after receipt of the Grievance. a. Grievances relating to Plan services may be submitted in writing to: AvMed Member Engagement Center P.O. Box 569008 Miami, Florida ▇▇▇▇▇-▇▇▇▇ Telephone: ▇-▇▇▇-▇▇▇-▇▇▇▇ Fax: (▇▇▇) ▇▇▇-▇▇▇▇ b. AvMed will acknowledge and investigate the Grievance and provide a written response advising of the disposition within 60 days after receipt of the Grievance. c. If you are not satisfied with ▇▇▇▇▇’s final decision, you may file a written Grievance with the Department of Financial Services (DFS) within 365 days of receipt of AvMed’s final decision letter. You also have the right to contact DFS at any time to inform them of an unresolved Grievance. DFS may be contacted at the address below: Florida Department of Financial Services ▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇ Tallahassee, Florida 32399 Telephone: ▇-▇▇▇-▇▇▇-▇▇▇▇

Filing a Grievance. If a Member’s complaint cannot be resolved informally, informally it may be submitted to AvMed in writing. We call this ‘filing a Grievance’. A Grievance is any complaint relating to Plan services, services other than one that involves a request (Claim) for benefits benefits, or an appeal of an Adverse Benefit Determination. Grievances must be filed within 365 days of the occurrence of the event or action that led to the Grievance. Grievances will be deemed to have been filed on the date received by AvMed, and will be processed through AvMed’s formal Member Grievance Procedures. AvMed will acknowledge and investigate the Grievance and provide a written response advising of the disposition within 60 days after receipt of the Grievance. a. Grievances relating to Plan services may be submitted in writing to: AvMed Member Engagement Center P.O. Box 569008 Miami, Florida ▇▇▇▇▇-▇▇▇▇ Telephone: ▇-▇▇▇-▇▇▇-▇▇▇▇ Fax: (▇▇▇) ▇▇▇-▇▇▇▇ b. AvMed will acknowledge and investigate the Grievance and provide a written response advising of the disposition within 60 days after receipt of the Grievance. c. If you are not satisfied with ▇▇▇▇▇’s final decision, you may file a written Grievance with the Department of Financial Services (DFS) within 365 days of receipt of AvMed’s final decision letter. You also have the right to contact DFS at any time to inform them of an unresolved Grievance. DFS may be contacted at the address below: Florida Department of Financial Services ▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇ Tallahassee, Florida 32399 Telephone: ▇-▇▇▇-▇▇▇-▇▇▇▇

Filing a Grievance. If a Member’s complaint cannot be resolved informally, it may be submitted to AvMed in writing. We call this ‘filing a Grievance’. A Grievance is any complaint relating to Plan services, other than one that involves a request (Claim) for benefits or an appeal of an Adverse Benefit Determination. Grievances must be filed within 365 days 1 year of the occurrence of the event or action that led to the Grievance. Grievances will be deemed to have been filed on the date received by AvMed, and will be processed through AvMed’s formal Member Grievance Procedures. AvMed will acknowledge and investigate the Grievance and provide a written response advising of the disposition within 60 days after receipt of the Grievance. a. Grievances relating to Plan services may be submitted in writing to: AvMed Member Engagement Center P.O. Box 569008 Miami, Florida ▇▇▇▇▇-▇▇▇▇ Telephone: ▇-▇▇▇-▇▇▇-▇▇▇▇ Fax: (▇▇▇) ▇▇▇-▇▇▇▇ b. If you are not satisfied with ▇▇▇▇▇’s final decision, you may file a written Grievance with the Department of Financial Services (DFS) within 365 days 1 year of receipt of AvMed▇▇▇▇▇’s final decision letter. You also have the right to contact DFS at any time to inform them of an unresolved Grievance. DFS may be contacted at the address below: Florida Department of Financial Services ▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇ Tallahassee, Florida 32399 Telephone: ▇-▇▇▇-▇▇▇-▇▇▇▇

Filing a Grievance. If a Member’s complaint cannot be resolved informally, it may be submitted to AvMed in writing. We call this ‘filing a Grievance’. A Grievance is any complaint relating to Plan services, other than one that involves a request (Claim) for benefits or an appeal of an Adverse Benefit Determination. Grievances must be filed within 365 days of the occurrence of the event or action that led to the Grievance. Grievances will be deemed to have been filed on the date received by AvMed, and will be processed through AvMed’s formal Member Grievance Procedures. AvMed will acknowledge and investigate the Grievance and provide a written response advising of the disposition within 60 days after receipt of the Grievance. a. Grievances relating to Plan services may be submitted in writing to: AvMed Member Engagement Center P.O. Box 569008 Miami, Florida ▇▇▇▇▇-▇▇▇▇ Telephone: ▇-▇▇▇-▇▇▇-▇▇▇▇ Fax: (▇▇▇) ▇▇▇-▇▇▇▇ b. If you are not satisfied with AvMe▇▇▇▇▇’s ’▇ final decision, you may file a written Grievance with the Department of Financial Services (DFS) within 365 days of receipt of AvMed’s final decision letter. You also have the right to contact DFS at any time to inform them of an unresolved Grievance. DFS may be contacted at the address below: Florida Department of Financial Services ▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇ Tallahassee, Florida 32399 Telephone: ▇-▇▇▇-▇▇▇-▇▇▇▇

Filing a Grievance. If a Member’s complaint cannot be resolved informally, informally it may be submitted to AvMed in writing. We call this ‘filing a Grievance’. A Grievance is any complaint relating to Plan services, services other than one that involves a request (Claim) for benefits benefits, or an appeal of an Adverse Benefit Determination. Grievances must be filed within 365 days of the occurrence of the event or action that led to the Grievance. Grievances will be deemed to have been filed on the date received by AvMed, and will be processed through AvMed’s formal Member Grievance Procedures. AvMed will acknowledge and investigate the Grievance and provide a written response advising of the disposition within 60 days after receipt of the Grievance. a. Grievances relating to Plan services may be submitted in writing to: AvMed Member Engagement Center P.O. Box 569008 Miami, Florida ▇▇▇▇▇-▇▇▇▇ Telephone: ▇-▇▇▇-▇▇▇-▇▇▇▇ Fax: (▇▇▇) ▇▇▇-▇▇▇▇ b. AvMed will acknowledge and investigate the Grievance and provide a written response advising of the disposition within 60 days after receipt of the Grievance. c. If you are not satisfied with ▇▇▇▇▇’s final decision, you may file a written Grievance with the Department of Financial Services (DFS) within 365 days of receipt of AvMed’s final decision letter. You also have the right to contact DFS at any time to inform them of an unresolved Grievance. DFS may be contacted at the address below: Florida Department of Financial Services ▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇ Tallahassee, Florida 32399 Telephone: ▇-▇▇▇-▇▇▇-▇▇▇▇

Filing a Grievance. If a Member’s complaint cannot be resolved informally, informally it may be submitted to AvMed in writing. We call this ‘filing a Grievance’. A Grievance is any complaint relating to Plan services, other than one that involves a request (Claim) for benefits or an appeal of an Adverse Benefit Determination. Grievances must be filed within 365 days of the occurrence of the event or action that led to the Grievance. Grievances will be deemed to have been filed on the date received by AvMed, and will be processed through AvMed’s formal Member Grievance Procedures. AvMed will acknowledge and investigate the Grievance and provide a written response advising of the disposition within 60 days after receipt of the Grievance. a. Grievances relating to Plan services may be submitted in writing to: AvMed Member Engagement Center P.O. Box 569008 Miami, Florida ▇▇▇▇▇-▇▇▇▇ Telephone: ▇-▇▇▇-▇▇▇-▇▇▇▇ Fax: (▇▇▇) ▇▇▇-▇▇▇▇ b. AvMed will acknowledge and investigate the Grievance and provide a written response advising of the disposition within 60 days after receipt of the Grievance. c. If you are not satisfied with ▇▇▇▇▇’s final decision, you may file a written Grievance with the Department of Financial Services (DFS) within 365 days of receipt of AvMed’s final decision letter. You also have the right to contact DFS at any time to inform them of an unresolved Grievance. DFS may be contacted at the address below: Florida Department of Financial Services ▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇ Tallahassee, Florida 32399 Telephone: ▇-▇▇▇-▇▇▇-▇▇▇▇

Filing a Grievance. If a Member’s complaint cannot be resolved informally, it may be submitted to AvMed in writing. We call this ‘filing a Grievance’. A Grievance is any complaint relating to Plan services, other than one that involves a request (Claim) for benefits or an appeal of an Adverse Benefit Determination. Grievances must be filed within 365 days of the occurrence of the event or action that led to the Grievance. Grievances will be deemed to have been filed on the date received by AvMed, and will be processed through AvMed’s formal Member Grievance Procedures. AvMed will acknowledge and investigate the Grievance and provide a written response advising of the disposition within 60 days after receipt of the Grievance. a. Grievances relating to Plan services may be submitted in writing to: AvMed Member Engagement Center P.O. Box 569008 Miami, Florida ▇▇▇▇▇-▇▇▇▇ Telephone: ▇-▇▇▇-▇▇▇-▇▇▇▇ Fax: (▇▇▇) ▇▇▇-▇▇▇▇ b. If you are not satisfied with ▇▇Av▇▇▇’s final decision, you may file a written Grievance with the Department of Financial Services (DFS) within 365 days of receipt of AvMed’s final decision letter. You also have the right to contact DFS at any time to inform them of an unresolved Grievance. DFS may be contacted at the address below: Florida Department of Financial Services ▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇ Tallahassee, Florida 32399 Telephone: ▇-▇▇▇-▇▇▇-▇▇▇▇