PartnershipAdvantage - Appeals and Grievances
We encourage you to contact us to let us know about concerns or problems with covered services or the care you receive. You may file an appeal or complaint and discuss how we can help to resolve the issue by calling our Member Services department at 1-866-264-3626. We will respond to your concerns as soon as possible. For more information about grievances and appeals, please see the Grievances and Appeals section of the PartnershipAdvantage Evidence of Coverage.
As a PartnershipAdvantage member, you have a right to receive a report of the aggregate number of grievances, appeals, and exceptions filed with our plan. If you would like to see this report, please contact our Member Services Department at (866) 264-3626 from 8am to 8pm 7 days a week. From March 2nd to November 14th, 2008, calls placed on weekends and holidays will be received by our answering service. Messages will be returned within one business day.
Members with hearing and/or speech impairments can call our toll-free TDD line
(800) 226-2140 or the California Relay Service at (800) 735-2929.
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Partnership HealthPlan of California |
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360 Campus Lane, Ste 100 |
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Fairfield, CA 94534 |
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| Our fax number is: (707) 863-4415 |
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You have a right to appoint someone to represent you regarding your appeal. Please fill out Section I of the form provided below. Your representative should fill our Sections II through IV. You may mail or fax in your completed form to Partnership HealthPlan of California. Our contact information is listed above.
Click below to open the form:
CMS' Appointment of Representation Form (FORM CMS-1696)
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