State of Texas and Higher Education

Employees, Retirees and their Dependents

Appeals and Grievances

Scott & White Health Plan Complaint and Appeal Procedure

Scott & White Health Plan recognizes that an enrollee, physician, provider, or other person designated to act on behalf of an enrollee may encounter an event in which performance under this agreement does not meet expectations. It is important that such an event be brought to the attention of the Health Plan. The Health Plan is dedicated to addressing problems quickly, managing the delivery of Health Care Services effectively, and preventing future complaints or appeals.

The Medical Director of the Scott & White Health Plan has overall responsibility for the coordination of the complaint and appeal procedure.

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