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Complaints, Utilization Review, Grievance Procedures
& Appeals
Find information on filing complaints,
grievances and appeals through:
- Your health plan.
- MCHCP.
- Missouri Department of Insurance, Financial Institutions &
Professional Registration (DIFP).
The health plan’s grievance review process shall include
the following:
- You have an initial right to an administrative/medical review.
- You have a right to a second review with different individuals
of a grievance panel, including representation from at least one
physician from an appropriate specialty area of medicine.
- There is an expedited procedure for emergency cases.
Journey through the appeals
process:
| Self-Insured Plans |
Fully-Insured Plans |
| Copay Plan through Coventry Health
Care |
Mercy Health Plans
South Central and Southwest Regions |
| Coventry Health Care of Kansas |
Delta Dental |
Mercy Health Plans
Central and East Regions |
Vision Service Plan |
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