Provider Grievances

The grievance process allows a provider, the member or the member’s authorized representative acting on behalf of the member (or provider acting on the member’s behalf with the member’s written consent) to file a grievance either orally or in writing. A grievance is defined as an expression of dissatisfaction about any matter other than an “adverse action.”

Submit Grievances via the Provider Portal

Fast Facts:

• Grievances may be filed within 30 calendar days of the occurrence of the matter that is the subject of the grievance.
• Grievances are acknowledged within five calendar days and resolved within 30 calendar days.
• Grievances can be submitted in writing or via the provider portal.
  • MAIL: TrueCare
    Attention: Provider Grievance & Appeals
    P.O. Box 2008
    Dayton, OH 45401