Part C Appeal Requests: We must have authorization to review a Part C reconsideration request from someone other than the member, or the member’s doctor (pre-service requests only).
Part D Appeal Requests: We must have authorization to review a Part D or redetermination request from someone other than the member, their prescribing doctor, or other prescriber.
Grievance Requests: We must have authorization to review a grievance request from someone other than the member.
Appointment of Representative
You also can get the Appointment of Representative form on CMS's website.
Refer to Chapter 9 of your Evidence of Coverage (EOC) for more information about the grievance and appeals processes.
Humana is a Medicare Advantage organization and a stand-alone prescription drug plan with a Medicare contract. Enrollment in a Humana plan depends on contract renewal.
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