At PHP, we want to provide you with the highest quality of healthcare coverage. If you have concerns about your coverage, or questions regarding a claim payment, a grievance procedure has been established that allows you to request a reconsideration of any decision that you disagree with. To begin the process, please complete and return the Appeal Filing Form (included with every Explanation of Benefits) or call the Grievance and Appeal coordinator stating your question or concern. We will assist you in any way we can.
Grievance Appeal Coordinator
1-800-982-6257, ext. 361
custsvc@phpni.com
For questions about your rights or for assistance if your coverage is a group health plan through your employer, you can also contact:
Employee Benefits Security Administration
1-866-444-EBSA (3272)
Indiana's Department of Insurance
www.in.gov/idoi
Ohio's Department of Insurance
www.insurance.ohio.gov
Additionally, a consumer assistance program can help you file your appeal. Click here for a list of all state's agencies.
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