Appeals and Grievances
If you disagree with a decision on your plan’s coverage or payment, you can file an appeal to have the decision reviewed by CHRISTUS Health Plan. If you are unhappy with service and want to make a formal complaint, you can file a grievance. Appeals and standard grievances can be filed within 60 calendar days from a denial. We can extend the timeframe if good cause is shown by the member.
Each CHRISTUS Health Plan has different components that make up the appeal and grievance process.