New Claims System Update

Provider Manual
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16 INTEGRANET COMPLAINTS, APPEALS, GRIEVANCES AND DISPUTES

16.8 Medicare Member Grievance

A Medicare member grievance is the type of complaint a member makes regarding any other type of problem with IntegraNet, health plan or a provider. For example, complaints concerning quality of care, waiting times for appointments or in the waiting room and the cleanliness of the provider’s facilities are grievances.

If a Medicare member has a grievance about IntegraNet, health plan a provider or any other issue, providers should instruct the member to call Member Services at the number located on the back of their ID card.

Please refer to the Amerigroup Provider Manual on their website at https://providers.Amerigroup.com for the most current information regarding Member Grievances.