West PACE

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

Quality Assurance — participant grievances

Official page read
Phone800-920-7098Published hours

Not published in this record

Product, plan and location

pace
California

Published service area

North County San Diego only. The official service-area page supplies a map, not a text ZIP list; confirm the residence with enrollment. The San Diego County tag does not mean countywide coverage.

San Diego County, CA · Area source ↗

Mailing address
Quality Assurance (QAPI) Director, Gary and Mary West PACE, 1706 Descanso Avenue, San Marcos, CA 92078

Written participant grievances, as explicitly directed in the linked grievance PDF.

The current Resources page links this grievance PDF, whose header says PACE Application Template February 2012. This is its published grievance contact, distinct from current enrollment; confirm the desk before sending documents.

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

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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?

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