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Complaints and appeals

What to do if you have a problem with any part of your care.

Complaints and appeals

If something’s not right, we want to know

  • You can appeal our decisions if you don’t agree with them
  • You won’t lose your coverage for filing a complaint
  • You don't need to worry about our doing anything bad in reaction to your complaint or appeal

For complete details about the complaint and appeal process, see your Member Handbook

Filing an appeal

If you disagree with a decision we made to deny coverage or payment for healthcare services, you have three ways to file an appeal.

 

File appeal online

Sign in to InTouch and choose “File an Appeal” from the Support menu 
Sign in to InTouch 

 

Call us to file an appeal

Call us to submit an appeal over the phone.

800-431-4135, TTY: 711

Mail or fax us

PacificSource Community Solutions
Attn: Appeals and Grievances
PO Box 5729
Bend, OR 97708
Fax: 541-322-6424
Download Appeal form

Filing a complaint

If you’re not satisfied with any part of your healthcare, you have several ways to file a complaint (also called a grievance).

 

File complaint online

Sign in to InTouch and choose “File a Grievance” from the Support menu
Sign in to InTouch

Call us to file a complaint

Contact our Customer Service team at 800-431-4135, TTY: 711.

Mail or fax us

PacificSource Community Solutions
Attn: Appeals and Grievances
PO Box 5729
Bend, Oregon 97708
Fax: 541-322-6424
Download Complaint form

Tell the Oregon Health Authority

 Call 877-642-0450, TTY: 711, or visit OHP's website for details