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Submitting an appeal or grievance

Arkansas Blue Medicare appeals and grievances

You have the right to file a grievance or submit an appeal and ask us to review a determination.

Arkansas blue Medicare prescription drug coverage determination

You have the right to submit an appeal and ask us to review coverage determinations.

Appoint a representative

Need to appoint someone to act on your behalf to make requests, obtain appeals information and receive notices in connection with a claim, appeal or grievance? You can appoint a representative.

To send a complaint to Medicare, complete the Medicare electronic complaint form

  • H4213_PFFS Website 2020
  • S5795_PDP Website 2020
  • H9699_HMO Website 2020
  • H4213_PFFS Website 2021
  • S5795_PDP Website 2021
  • H9699_HMO Website 2021
  • H3554_PPO Website 2021
  • H6158_HMO Website 2021

Last updated 10/01/2020