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Appeals and Grievances

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Scott and White Health Plan recognizes that an enrollee, physician, provider or other person designated to act on behalf of an enrollee may encounter an event in which performance under this agreement does not meet expectations. It is important that such an event be brought to our attention. We are dedicated to addressing problems quickly, managing the delivery of health care services effectively and preventing future complaints or appeals.

The Medical Director of the Scott and White Health Plan has overall responsibility for the coordination of the complaint and appeal procedure.Download the complete Scott and White Health Plan Complaint and Appeal Procedure.