IMPORTANT The insured has the right to file a complaint with the Department of Commerce at any time during the complaint and appeal process, or to contact the Department of Commerce with questions or concerns regarding coverage under the Group Policy.
Minnesota Department of Commerce 1-800-657-3602
Minnesota Department of Commerce 133 East 7th Street St. Paul, Minnesota 55101
Name(s) of the insured
Name of patient
Name (or initials) of individual receiving information
Summary of issue, including who or what complaint / grievance is about
Line of business, product line and service
Status, e.g., forwarded to another entity, waiting for internal review
UNICARE will track inquiries, complaints, grievances, and appeals for reporting to regulatory entities requiring such reporting.
All verbal or written inquiries made by insureds with respect to the provision of services by UNICARE are considered inquiries initially and categorized as Tier I issues.
Under the Tier I process, the Dental Services associate reviews the inquiry. If the determination by UNICARE made as a result of the Tier I review is satisfactory to the person requesting such review, the issue is considered closed and is not logged as a part of the complaint / grievance and appeals process.