For Medi-Cal Members - How To File a Grievance
 
Online Grievance Form
 
As a Partnership HealthPlan of California (PHC) member, we want to hear your concerns about the health care services you receive. We want you to talk with your doctor if you have any questions about your health care. If this is not possible, or you need help, please call the Member Services Department at 800-863-4155.
 
You also have the right to file a grievance if you are not happy with the care, service or treatment you received. You can file a grievance by:
 

1.      Telephone: You may file a grievance or ask questions about the grievance process by calling the PHC Member Services Department at 800-863-4155. Bilingual staff is available.

 

2.       In Writing: You may file a grievance in writing to PHC. Written grievances should be sent to:


Partnership HealthPlan of California
4665 Business Center Drive
Fairfield, CA 94534
ATTN: Grievance & Appeals

3.       In Person: You may file a grievance in person by visiting PHC's office at:


4665 Business Center Drive
Fairfield, CA 94534

4.      Contracted Provider: You may file a grievance at the office of any provider that is contracted with PHC. Ask to file a grievance or appeal.


5.       Online Grievance Form: You may file a grievance by completing an online grievance form.

 
When PHC receives your complaint, we will send you a letter within five (5) calendar days letting you know the status of your grievance and the name of your assigned Grievance & Appeals Case Analyst. The Case Analyst will contact you to discuss your concern(s) and to review PHC’s grievance process. A letter explaining the response to your grievance will be mailed within 30 calendar days of receiving your grievance.
 
Expedited Grievances: Any grievance with serious health concerns will be reviewed by PHC within 72 hours of receiving the grievance.
 
PHC will not discriminate against you or limit your benefits in any way if you express concerns or file a grievance.