Appeals and Grievances

This page explains the rights that members have to appeal an Alliance decision, and how that process works.

If you are unhappy or have a complaint, you may talk with your primary care provider, and you may call Member and Recipient Services at 800-510-9132.

If you do not agree with Alliance Health ’s decision on your appeal, you can ask for a State Fair Hearing. In North Carolina, State Fair Hearings include an offer of a free and voluntary mediation session.

The NC Medicaid Ombudsman is a resource you can contact if you need help with your health care needs.