Appeals & Grievances
Grievance/Complaints
What AHCCCS and Phoenix Health Plan called complaints in the past are now called grievances. If you have a grievance (complaint) or any type of a problem with your health care services, Phoenix Health Plan wants to know about it. Call or write to Member Services if you have a problem or do not think that you have been treated properly. It is important that we know your concerns so we can improve our services. Please call us at 602.824.3700 or 1.800.747.7997. You may also write to us at:
Member Grievances
Phoenix Health Plan
7878 North 16th Street, Suite 105
Phoenix, AZ 85020
Fax: 602-674-6673
OR
You may complete the online grievance form to file a grievance electronically. We will contact you within 2 business days.
Appeals
When Phoenix Health Plan makes a decision on covering services, a letter will be mailed to you stating Phoenix Health Plan's decision and the reason for the decision. If you do not agree with our decision, you can ask us to look at our decision again. This is called an appeal. You may request a standard or expedited appeal orally or in writing. You can ask that the service listed in the letter continue while we make a decision. If you have questions, or would like to submit an appeal, please contact us at (602) 824-3735 or 1-800-747-7997 extension 3735. You may also submit an appeal by fax to 602-674-6673 or by writing to:
Member Appeals
Phoenix Health Plan
7878 North 16th Street, Suite 105
Phoenix, AZ 85020
For detailed information about Compliant/Grievances and/or Appeals
click here.