Providers may file a grievance orally or in writing or dispute over any aspects of the operations, activities, or behavior of the plan except for any dispute over for which the provider has appeal rights. A Provider may file a grievance by mailing or faxing a Complaint Request Form with supporting documentation to Alliance’s Grievance Department.
Providers must file their grievance no later than 30 calendar days from the date the provider becomes aware of the issue generating the complaint.
A written provider grievance will be mailed directly to Alliance’s Grievance Department. Get more information about the Grievance Department.
When acting as the Member’s representative, a provider may not file a grievance on behalf of the Member without written consent from the Member.
Alliance will give all providers written notice of the provider grievance procedures at the time they enter into contract with Alliance.