Grievances and Appeals

We hope our members will always be satisfied with Absolute Total Care and our providers. If you are not satisfied, please let us know.

You have the right to file a grievance or appeal.

Grievance: A grievance is an expression of dissatisfaction about any matter other than an adverse benefit determination.

Appeal: An appeal is a request to change a previous decision, or adverse benefit determination, made by Absolute Total Care. This review makes us look again at the adverse benefit determination.

You must give a person or a provider acting on your behalf written permission to file a grievance or appeal.  You can give permission by completing the Appointment of Authorized Representative Form on our Member Handbooks and Forms page.