PROVIDER RELATIONS GRIEVANCE COORDINATOR
Policy and Procedure No.: 13.3 Page 3 of 4
If complaint is received in writing, Provider Relations responds in writing within seven (7) calendar days.
Reclassifies as a Formal Grievance and follows procedure for Formal Grievance below.
Receives Grievance from person, or by telephone.
2. Requests provider to complete Provider Grievance Form (Attachment II). Proceeds to step 4 below.
3. Completes Provider Grievance Form on provider's behalf and attaches copy of provider's letter, if available.
Records grievance code on
Letter (Attachment III)
with Grievance provider within
Fact Sheet (Attachment five (5) calendar days of
IV) to receipt