Prior to completing your grievance submission online, you will need to have
available your Community Health Plan ID card. You may enter your information
directly into the fields provided on the attached form. Upon completion, print a
copy of the form for your records.
WHAT DO YOU NEED TO DO?
STEP 1: Complete the Member Information at the top portion of the form.
This is information pertaining to the member only. Include the sequence of events and
how the problem affected you.
STEP 2: After you have filled out the form, please take a moment to review
the information prior to your submission.
STEP 3: After the Community Health Plan has received your grievance,
you will receive a letter within 5 days informing you that Community Health Plan has
received your grievance. The letter will include a contact person who you may call
Community Health Plan will review your grievance and work to resolve
your problem. Community Health Plan will send you a letter of the grievance resolution or
appeal within 30 calendar days from the day your grievance was received. The letter will include
information on how to file an appeal with Community Health Plan.