Common use of To File a Formal Grievance Clause in Contracts

To File a Formal Grievance. A Grievance is a written expression of dissatisfaction with the Claims Administrator or with services rendered by a Provider. If a Plan Participant does not feel their Complaint was adequately resolved or the Plan Participant wishes to file a formal Grievance, the Plan Participant must submit this in writing within 180 days of the event that led to the dissatisfaction. The Claims Administrator’s customer service department will assist the Plan Participant if necessary. Send written Grievances to: United Concordia Dental Customer Service P.O. Box 69420 Harrisburg, PA 17106-9420 A response will be mailed to the Plan Participant within thirty (30) business days after the Claims Administrator receives the written Grievance.