Requests and complaints

Call us first

If you have any questions, concerns or problems with your Priority Health plan or the care you receive, contact our Customer Service department right away. Our customer service representatives can help resolve questions about:

• Benefits (including services determined to be experimental or investigational or not medically necessary or appropriate)
• Eligibility
• Payment of claims (in whole or in part)
• How we've handled payment or coordination of health care services
• Contracts with our providers
• Availability of care or providers or
• Delivery or quality of health care services

PriorityMedicare^SM members: Visit the PriorityMedicare website to get help with coverage and service issues.

Decisions not in your favor
If an answer you received from Priority Health regarding coverage or other issues does not meet your satisfaction, contact our Customer Service department. Customer service representatives can help you appeal our initial decisions about services or coverage we have denied, reduced or terminated.

Remember: Calling Priority Health is always the fastest and easiest way to resolve your questions, complaints or appeals.

Filing a formal complaint (grievance)

If you are not satisfied with the answers you receive after talking to a customer service representative, you or someone acting on your behalf can send us a formal complaint. This formal complaint is called a grievance.
Learn how to file a grievance with Priority Health.