Exhibit N – Attachment III
BOARD OF SUPERVISORS
Gloria Molina First District
Yvonne Brathwaite Burke Second District
THOMAS L. GARTHWAITE, M.D. Director and Chief Medical Officer
Zev Yaroslavsky Third District
FRED LEAF Chief Operating Officer
COUNTY OF LOS ANGELES DEPARTMENT OF HEALTH SERVICES 313 N. Figueroa, Los Angeles, CA 90012
Don Knabe Fourth District
Michael D. Antonovich Fifth District
OFFICE OF MANAGED CARE 1000 S. Fremont Avenue Building A-9 East, 2nd Floor, Unit #4 Alhambra, CA 91803-1323
Fax (626) 299-7251
Dr. FN LN Address City, State, Zip Code
This is to acknowledge receipt of your correspondence dated (date) and received by the Community Health Plan (CHP) Grievance Unit on (date) regarding (state problem). Your concerns are very important to us and we thank you for bringing this to our attention.
We are currently investigating the issue and will respond to you in writing within thirty (30) calendar days. The response that you will receive will indicate the result of our investigation and if necessary, will describe any actions taken to resolve the issue.
If you have any questions, please call me at (626) 299-5532.
Very truly yours,
Yolanda Turner Provider Grievance Coordinator Community Health Plan