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Provider Manual
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15 PROVIDER COMPLAINT AND GRIEVANCE PROCEDURE

15 Provider Complaint and Grievance Procedure

IntegraNet has a formal process for the handling of disputes pertaining to administrative issues and nonpayment-related matters. For payment disputes, see Provider Payment Disputes. For Medicare member liability appeals, see Medicare Member Appeals. Providers may access this process by filing a written grievance. Provider grievances will be resolved fairly and consistent with IntegraNet policies and health plan covered benefits.

Providers are not penalized for filing complaints. Supporting documentation should accompany the complaint and be forwarded to the nearest IntegraNet office locations.

Market (Texas) Provider Relations Address
Dallas/Fort Worth IntegraNet Health
3010 LBJ Freeway, Ste 1450
Dallas, TX 75234
Houston IntegraNet Health
2900 North Loop W, Ste 700
Houston, TX 77092
San Antonio IntegraNet Health
736 S Alamo St
San Antonio, TX 78205