Member » About AHN » Appeals & Grievances

If you have a problem with your health plan, you have the right to file a complaint.  A complaint is also called a grievance or an appeal.

  • You can file a complaint with your health plan by phone or by mail. You may also be able to file a complaint on your health plan's website.
  • If your problem is urgent, meaning there is a serious threat to your health, your health plan must give you a decision within three days from the date that it receives your appeal.
  • If your problem is not urgent, your health plan must give you a decision within thirty days from the date that it receives your appeal.  

Links to Arta Health Network’s contracted commercial and senior health plans' websites are listed below.

 
Health Plan
Link
Aetna
 
 
Anthem Blue Cross
 
 
Arta Medicare Health Plan
 
 
Blue Shield of California
 
 
Cigna
 
 
Health Net
 
 
MD Care

 












You can file a complaint with the Department of Managed Health Care's  Help Center if you are not satisfied with your health plan's decision or if you have not received the plan's decision within thirty days of its receipt of filing, or within three days if the problem is urgent.

Arta's Customer Service Representatives are available to assist you when problems or concerns arise regarding your health care services. Please call 1-949-780-8879 if you need help in filing an appeal or a grievance.  Arta's Customer Service department's hours of operation are Monday through Friday, 8:00 AM to 4:30 PM.

 
You may also view the California Department of Managed Health Care's website at the following link to review the complaint filing process:  http://www.hmohelp.ca.gov/dmhc_consumer/pc/pc_contact.aspx.
























About Us | News & Events | Career | Contact Us | Site Map
© 2010 Arta Western Medical Group