Appeals
If you receive a denial letter and do not like the choice we made, you can file an appeal. An appeal is a request to review an action or denial. An action is any denial that is:
Limited
...
You can ask for a review from the BAP if you are not happy with an appeal decision. You have the panel review your case. You can do this after you completed the Molina Healthcare grievance and appeals...
As a Molina Healthcare member, if you have a problem with your medical care or our services, you have a right to file a complaint, grievance or appeal. A complaint is the first part of the grievance p...
Si tiene una queja, puede llamar a Servicios para miembros al (844) 809-8438, de lunes a viernes, de 7:30 a. m. a 8:00 p.m., y el segundo fin de semana de cada mes, de 8:00 a. m. a 5:00 p. m. Para TTY...
If you have a complaint, you can call Member Services at (844) 809-8438, Monday thru Friday from 7:30 a.m. to 8:00 p.m. and the second weekend of each month from 8:00 a.m. to 5:00 p.m. For TTY/TTD, yo...
Expedited or Rushed AppealsAn expedited or a rushed appeal is when waiting for a regular appeal may risk your life or health. All rushed appeals will be solved in 72 hours or as quickly as your health...
Le invitamos a comunicarse con nosotros de inmediato ante cualquier duda, inquietud o problema con respecto a sus servicios cubiertos o la atención que recibe. Por favor llama a Servicios para Miembro...
We encourage you to let us know right away if you have questions, concerns, or problems related to your covered services or the care you receive. Please call Member Services
See Chapter 9 of the EOC* ...
Member RightsReceive information about Molina Healthcare and about your rights and responsibilities as a Molina Healthcare Member.Be treated with respect and courtesy. Molina Healthcare recognizes you...
