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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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Mar 21, 2022

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Grievance

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

Related Terms

Appeal

An Appeal is a request from you for your health insurer or administrator to review a decision that denies a benefit or payment (or pays a lower-than-expected amount toward the billed charge for a medical service or treatment). An Appeal may also be referred to as a Grievance. If your health plan refuses to pay […]

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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Non-Grandfathered Health Plan

Non-Grandfathered Plan

A grandfathered health plan (grandfathered plan) is a health plan that was already in effect prior to March 23, 2010, when the Affordable Care Act (ACA) was signed into law. A non-grandfathered plan is a health plan effective after March...

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