Prior to filing a grievance with URAC, we strongly recommend that you contact the individual organization to file your complaint and allow the organization an opportunity to resolve the matter.
URAC may contact you to clarify the facts surrounding your grievance but is not obliged to do so.
URAC has no authority to resolve disputes between any complainant and a URAC-accredited organization based on a benefit determination or the payment of such benefits.
URAC will not disclose or share information regarding any specific outcome of a grievance or complaint investigation, however may collect statistical data for tracking purposes.
By submitting this complaint, you authorize URAC to begin the investigation including sharing your contact information unless you have elected to remain anonymous. URAC and/or the accredited organization may need to contact you directly for additional information to facilitate the investigation as is deemed necessary. You agree that you will not hold URAC liable for any disclosure of information contained in your complaint.
URAC can only investigate a URAC accredited organization for an issue that is related to URAC’s program for which the organization is accredited. If you have a complaint that is not in scope with the accreditation, you may have other recourse for filing a complaint with your state insurance or health agency (see http://www.naic.org/state_contacts/sid_websites.htm) (National Association of Insurance Commissioners). URAC cannot advise you on your alternative recourse if URAC cannot evaluate your grievance.
I have read and agree to the information, terms and conditions as indicated on this website. I further understand that URAC expressly prohibits the submission of protected health information and reserves the right to change terms and conditions without further notice and/or as required by law. Checking this box indicates my agreement to these terms and conditions and I understand it is required for submission of complaints. If you do not agree, your grievance will not be submitted.