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A grievance is a formal complaint. Filing a grievance with Medica means that you would like us to address your complaint. This is not part of the appeals process; but you can submit a grievance along with an appeal and it will not affect the outcome of the appeal.
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In order to act as an authorized representation, the member will need to fill out the Appointment of Representative form. You can download and complete this form, then attach it below. You also have the option to fax or mail the form, if you prefer.
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Last Updated December 2022
H2458_1004798 Approved
Y0088_1004798_C