What if a member disagrees that a service doesn't meet medical criteria?
If the member disagrees with a physician's decision not to provide or order a service that doesn't meet medical criteria and they would like to initiate a member grievance, they can call HAP at (313) 872-8100. Members should submit their grievances in writing by sending a letter explaining why they feel a procedure or treatment should be covered along with any supporting documentation they may have to:
Health Alliance Plan
2850 W. Grand Blvd.
Detroit, MI 48202
Attention: Vice President, Client Services