Denials, appeals and grievances

Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

appeals grievances

Member grievance coordinator

Official page read

Phone800-700-3874Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
California

Mailing address

Not researched for this route

Menu guidance in the source record

Extension 5816, as published for the Grievance Coordinator.

Menus can change. No live call verification is claimed.

Published member complaint route. TotalCare members should confirm their product-specific grievance process; no provider-dispute address is inferred. Regional California managed-care health plan. Its Q3 2026 fact sheet identifies Mariposa, Merced, Monterey, San Benito and Santa Cruz counties; product-specific membership and benefits apply.

View source ↗ · Source checked 2026-10-22 · alliance fact — reviewed role, scope or corroborating channel evidence ↗

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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Make the call count.

Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

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Denial notice, remittance and reason codes
Previous appeal confirmation and decision
Supporting evidence and any required authorization to represent the member

Questions to resolve

Is this a claim correction, provider dispute or member appeal?
What deadline and submission channel apply to this case?
How can the office confirm receipt and track the decision?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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