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Grievance

A grievance is a complaint you communicate to your health plan or insurer.

Compliance
Group Health Insurance
Medical

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Healthcare Provider Complaint Center Tour

Mar 21, 2022

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Grievance

HealthCare.gov page entry
https://www.healthcare.gov/glossary/grievance/

Related Terms

COBRA
Consolidated Omnibus Budget Reconciliation Act

The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) is a federal law passed by Congress that, among other things, allows individuals to maintain health coverage following termination due to a qualifying event. The law applies both to insured employees...
ERISA
Employee Retirement Income Security Act of 1974

Federal law that sets minimum standards for most voluntarily established retirement and health plans in private industry to provide protection for individuals enrolled in these plans. ERISA prevents states from directly regulating employee welfare benefits, including employer-sponsored health plans. Federal...
EOC
Evidence of Coverage

Refers to any certificate or individual or group agreement or contract that specifies what is covered by the insured’s health plan.

Further Reading & Resources

https://www.anthem.com/ca/ms/provider/PW_E212763.pdf?refe#:~:text=Grievance%3A%20Concerns%20that%20do%20not,services%20or%20payment%20for%20services.

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Here's the Word of the Day

Habilitative Services

Habilitation Services

Habilitation and habilitative services are health care services that help a person keep, learn, or improve skills and functioning for daily living. Examples include therapy for a child who isn’t walking or talking at the expected age. These services may...

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