GRIEVANCE FORM

The Community Health Plan of Imperial Valley strives to provide the best service to our members and providers. If you have experienced a problem with your provider or coverage, you have the right to file grievances and appeals with us so we can attempt to fix the issue and better serve you.

When to file a Grievance: File a grievance using the form below if you experienced a problem with a provider or are unsatisfied with the care or treatment you received from a provider.

When to file an Appeal: File an appeal if you do not agree with our decision to change your services or to deny coverage of services.

Download the GA-002 Appeals Process Policy PDF