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Medica Administrative Manual Home > Special Contracting Requirements > Resolution of Member Complaints

Resolution of Member Complaints

Participating providers must comply with Medica’s member complaint resolution process, as required by state and federal laws governing HMOs and insurance companies. Because the member complaint resolution process varies by Medica product and entity, participating providers can call Medica’s Provider Service Center for information about member complaint resolution processes at 1-800-458-5512. Select provider option 1, then option 4 (for physicians) or option 3 (for hospitals).

For more information, refer to the Complaint Review Process

Date: 6/20/2019 6:30:09 AM Version: 4.0.30319.42000 Machine Name: PWIVE-CMSWEB01