Action required: 2023 Consumer Grievance and Appeals attestation Requirement

Participating providers with Anthem Blue Cross (Anthem) are required to annually acknowledge that each of the following are readily available at each contracted provider location:

• Consumer grievance and appeals forms
• A description of grievance procedures

Please follow the steps below to complete this year’s required attestation, which is due by
April 24, 2023. The process takes approximately five minutes.

1. Select the survey questionnaire and attestation: https://s-us.chkmkt.com/?e=308180&d=e&h=E24536B225BCE5C&l=en.
2. Answer all four questions and provide the information.
3. Complete the attestation and submit. 

Access to consumer grievance and appeals forms (in multiple languages) and procedures are located on the Anthem website at https://www.anthem.com/ca/forms.

1. Go to View by Topic and select the drop-down menu.
2. Select Grievance & Appeals.
3. Select the desired resource link/form.

We appreciate your cooperation and support. If you have any questions regarding this requirement, please contact Elisa.Hangarter@anthem.com.

For additional information regarding consumer grievance and appeals requirements, please see below.

The Department of Managed Health Care’s (DMHC) routine medical survey includes evaluation of a health plan’s compliance with California Health and Safety Code section 1368(a)(2); 28 CCR 1300.68(b)(6) and (7). These regulations require health plans to ensure that consumer grievance and appeals forms and a description of grievance procedures are readily available at each contracting provider’s office, contracting facility, or plan facility.

Please review and distribute the Anthem consumer grievance and appeals forms to all your participating offices. It is important to implement processes to provide consumer grievance and appeals forms to Anthem consumers promptly upon request.

Your agreement with Anthem requires you to comply with all applicable laws and regulations and to cooperate with Anthem’s administration of its grievance program, which includes annually attesting that consumer grievance and appeals forms, and a description of grievance procedures are readily available at each contracting provider’s office, contracting facility, or plan facility.

Information can be accessed on the process of submitting consumer grievances and appeals, grievance forms in multiple languages, definitions, and appeal rights, on the Anthem website at https://www.anthem.com/ca/forms and within the Anthem Blue Cross provider manual.