If you become aware of a member with a problem or complaint about the Alliance, its policies, or its providers, please give the member the Alliance Grievance Form and a copy of the Member Guide to the Grievance and Appeals Process.

• Member Guide to the Grievance & Appeals Process
  English | Spanish | Chinese | Vietnamese
• Member Grievance Form
  English | Spanish | Chinese | Vietnamese

If the Alliance member would like to receive member materials in another language, please call:

• Alliance Member Services Department
• Monday – Friday, 8 am – 5 pm
• Phone Number: 1.510.747.4567
• Toll-Free: 1.877.932.2738
• People with hearing and speaking impairments (CRS/TTY): 711/1.800.735.2929

For more information, please view our Grievances & Appeals page.

不滿

如果您不同意與索賠無關的處理或不付款,您可以通過以下聯繫請求向提供者投訴:

• Alliance Provider Services Department
• Monday - Friday, 7:30 am – 5 pm
• Phone Number: 1.510.747.4510
• Email: providerservices@alamedaalliance.org

郵寄位址:

阿拉米達健康聯盟
ATTN:申訴和上訴
郵政信箱2818
阿拉米達, CA 94501-0460

上訴

如果同儕審查和認證委員會(PRCC)根據初始申請的醫療質量問題做出不利決定,或重新認證導致強制性報告行動,醫生將收到書面通知。這一決定。 執業者有權在收到中華人民共和國通知後30天內向司法審查委員會(JRC)申請聽證。 希望並有資格就不良資格認證或參與決定提出上訴的供應商必須在規定的期限內向聯盟首席醫療官提交書面通知,要求在 JRC 上獲得公平聽證。

司法審查程式遵循以下程式:

• 公平聽證會應提交JRC審查和建議。
• 將通知供應商說明 JRC 的日期,供應商應有機會陳述其立場。
• JRC的決定將送交中國委員會和執業者。
• 聯合審委會將發出書面決定,其中包括事實調查結果和聽證會最後休庭后30個日曆日內的結論。