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CONSULTATION

First, we learn about you and your healthcare needs. You can ask us questions and get answers about your health plan.

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Problem Solving

Next, we help you review your options and find solutions.

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Mediation

If further help is needed, we send a mediator to work with you and your doctor or care representative to problem-solve.

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Learn about Appeals

If these options haven’t solved your issue, we will show you how to file an appeal and what to expect during the appeal process.

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Get a Referral

If you decide to go forward with the appeal or grievance, we then refer to information and problem resolution resources, including formal grievance and appeal processes and legal services.

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