You have the right to file a grievance or complaint and appeal a decision made by us. Use the links below to review the appropriate appeal document, which presents important information on how to file, timeframes and additional resources.
Medicare Members: access grievance and appeals information here.
First Level Complaint Appeal Rights
Important information about your rights and how to file a complaint appeal.
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First Level Grievance Appeal Rights
Important information about your rights and how to file a grievance appeal.
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Final Level Grievance Appeal Rights
Important information about your completed final level of internal review and other resources to help you.
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Medicaid Grievance and Appeals Rights
Important information about your rights and other resources to help you.
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HARP Grievance and Appeals Rights
Important information about your rights and other resources to help you.
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EmblemHealth Plan, Inc. Hospital and Medical Claim Appeal Information
Important information about your rights and other resources to help you.
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HIP Claim Appeal Information
Important information about your rights and other resources to help you.
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NYS EmblemHealth Plan, Inc. Dental Claims Appeal Information
Important information about your rights and other resources to help you.
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If you have any questions or need help reading or understanding these documents, please call EmblemHealth Customer Service.
