Exhibit N - Attachment IV
BOARD OF SUPERVISORS
Director and Chief Medical Officer
Chief Operating Officer
COUNTY OF LOS ANGELES DEPARTMENT OF HEALTH SERVICES 313 N. Figueroa, Los Angeles, CA 90012
OFFICE OF MANAGED CARE 1000 S. Fremont Avenue Building A-9 East, 2nd Floor, Unit #4 Alhambra, CA 91803-1323
Fax (626) 299-7251
First and Last name Address City, CA Zip Code
Dear Last name:
This is in response to your complaint dated
and received by the Community Health Plan (CHP)
Grievance Unit on
The CHP contacted correspondence that
on your behalf. As a result of our investigation, we received .
If you should have any further questions in regard to your .
, please contact
Thank you for bringing this matter to our attention. Your concerns are very important to us. If you are not satisfied with our findings, you have the right to appeal our findings by refer to the attached “Provider Grievance Fact Sheet” for information regarding the appeal process.
Very truly yours,
Yolanda Turner Assistant Grievance Coordinator Office of Managed Care/Community Health Plan