Complaint and Grievance Procedures in Health Insurance Checklist
Summary
This Complaint and Grievance Procedures in Health Insurance Checklist provides guidance on the process for handling complaints and grievances filed by individuals who are covered under commercial health insurance policies. This checklist will help you to better understand your client's obligations in the context of complaints and grievances, the structure of the complaint and grievance review process, and how to conduct legal research on the topic. It does not address external appeals of claims denials.