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INTERNAL GRIEVANCE PROCESS
Alliance Members may submit a Grievance orally by calling Client Services Department
at (888) 999-4347 within
sixty
60 calendar days
after the event. The Member, their
Authorized Representative or their practitioner may also submit a Grievance by sending
a request in writing to: Alliance
, Attention: Appeals & Grievance Department, 2850
West Grand Boulevard, Detroit, MI 48202. Members may submit a written
Grievance by fax to (313) 664-5866 or in person at the Detroit office location:
2850 West Grand Boulevard or at the Southfield office location: 21700
Northwestern Highway, Southfield, MI 48075.
Members will receive prompt, appropriate action, including a full investigation of the
Grievance as expeditiously as the Member’s case requires, based on the Member’s
health status, but no later than
fifteen (15) calendar days
from the date the oral or
written request is received, unless extended as permitted.
QUALITY OF CARE GRIEVANCES
A complaint received by Alliance concerning the quality of service or care a Member
received is generally treated as a Grievance.
EXPEDITED GRIEVANCE PROCESS
An Expedited Grievance may also include a complaint that Alliance refused to expedite
an organization determination, reconsideration or invoked an extension to an
organization determination or reconsideration time frame. Expedited Grievances will be
responded to in 72 hours
.
FOR MORE INFORMATION
Alliance Members can call Client Services Department at (888) 999-4347.
If you are deaf, hearing or speech impaired, please use our TTY/TDD line at
(800) 649-3777.
You can call the Department of Insurance and Financial Services directly at the
number listed above or visit their website at
For assistance you may contact the Michigan Health Insurance Consumer
Assistance Program, 611 W. Ottawa Street, Lansing, MI 48933 at
877-999-6442 or
email at DIFS-HICAP@Michigan.gov.
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