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California Members Complaint & Appeal Form
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California Residents Only:

If you wish to express your dissatisfaction with the service, system, or clinical care provided by MHN or its network providers or to request payment for services that have previously been denied in writing by MHN, please follow the links below for more information and an on-line form to make your request.

California Members Complaint & Appeal Online Form

California Members Complaint & Appeal Form: Printable Version

More information about the California Grievances & Appeals process

If you are not a resident of California, please call the contact number listed on your health plan card.

     
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