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

Questions?

Please contact provider services or speak with your Provider Engagement Representative. Give us a call

Provider Services: 1-833-230-2174!