My Patient Rights can help guide you in resolving issues so you can get the health care you deserve.
The first thing you need to do is file a complaint with your health plan. If you’re having trouble filing a complaint with your health plan, the North Carolina Department of Insurance can help explain the appeals process and help you file an appeal. Follow the steps below to file a complaint and appeal with your health plan:
Below are links to the complaint forms for North Carolina’s top health plans:
Log on to MyUHC.com and complete the “Appeals and Grievance Form”
Select: Claims and Accounts > Medical Appeals and Grievances > Member Service Request Form
Fax or mail the completed form to the UnitedHealthcare address listed in the instructions
You have the right to file a complaint with the North Carolina Department of Insurance (NCDOI) if you have a problem getting the services you need, including quality and affordable health care. If you are unsatisfied with your health plan’s decision regarding your appeal and grievance, you can request an External Review with the NCDOI. Find more information about the Department of Insurance here.
My Patient Rights can help guide you in resolving issues so you can get the health care you deserve.
Find answers to commonly asked questions.
State and federal law protects your rights. When you sign up for a health plan and/or if you have problems accessing care through your health plan, it is important to know your rights.