When can I file a grievance?
If you have dissatisfaction with any aspect of your health care plan, customer care, your provider or treatment facility, you can submit a grievance. Grievances do not include claims or service denials, as those are classified as appeals. You can use the Grievance/Appeal Request form to appeal.
Who can submit the grievance request?
You (member) or a person you appoint. Refer to the How to Appoint a Representative section for additional information.
How can I submit the grievance request?
Grievance/Appeal Request Form
Fax Number: 1-855-251-7594
Humana Grievances and Appeals
P.O. Box 14165
Lexington, KY 40512-4165
Puerto Rico Members: Use the following form, fax and/or mailing address.
Grievance/Appeal Request Form – Puerto Rico
Fax Number: 1-800-595-0462
Humana Puerto Rico
Grievances and Appeals Unit
P.O. Box 191920
San Juan, PR 00919-1920
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