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2 answers

[Date]

[Your Medical Group or Health Plan]
Customer Service Department
[address]

RE: Grievance of [your name]
Subscriber #[your number]

Dear Customer Service Department:

I am writing to express my dissatisfaction with services I received from [name of provider] on [date].

I am unhappy with the services provided by [name of provider] for the following reasons: {Describe the problem you experienced, how it impacted your health, and why you feel the problem should not have occurred or what should have been done differently; include any relevant date(s) and any names of people involved, and any actions you have already undertaken attempting to resolve the problem.}

I would appreciate it if you would investigate this matter and take appropriate action to prevent the problem from happening again. You may contact me at [telephone number] if you would like any additional information. Please notify me in writing of the results of your investigation.

Sincerely,

[Your name]


cc: {Possible individuals and/or groups to whom you can consider sending copies of your letter:}

[Health Plan Medical Director]
[Medical Group Medical Director]
[State disciplinary or licensing board]
[Your doctor]
[Party you are complaining about]
[Your employer or insurance broker]
[State regulatory agency]

Attachment(s): {list and attach any written documentation that supports your complaint}

2007-03-12 15:01:57 · answer #1 · answered by Silly Girl 5 · 0 0

I forgot my call - a lot a lot hate on blood on the dance floor only for there look and there message about Sexual issues. i imagine there ok. they have a sturdy message that there sending out to each body. i'm now going to get a group of dislikes. the first issue that includes my options is my call. Jesse

2016-12-01 22:05:49 · answer #2 · answered by Anonymous · 0 0

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