First, a group of Priority Health employees well-versed in coverage issues informally reviews your grievance. If they can't resolve it to your satisfaction, they will send your grievance to Priority Health's Grievance & Appeals Committee. The committee includes Priority Health employees and a medical doctor, none of whom were involved in the initial decision we made or who work directly for someone who made that initial decision.
We send you a letter summarizing our findings and resolution. The decision may be all or partly in your favor, or all against you. If you are unhappy with the decision, you may be able to file an appeal. Call Customer Service to file an appeal or learn more.