Insurance Grievance & Appeals
How to file complaints or appeals regarding insurance coverage decisions.
Insurance Plan Grievances
If you need to file a complaint or appeal regarding insurance coverage decisions, claims denials, or prior authorization disputes, contact your insurance plan directly using their official grievance procedures. Each plan has specific forms, timeframes, and processes for handling these concerns.
Practice-Related Concerns
For concerns about appointment scheduling, wait times, staff interactions, or quality of care, please contact our office directly at (760) 891-4687 or speak with any staff member during your visit.
Insurer Grievance & Appeals Links
Official grievance and appeals procedure pages for the insurance plans we contract with:
- Anthem Blue Cross PPO
- United Healthcare (Medicare Advantage / Part D plans)
- Blue Shield of California
- Aetna
- Cigna PPO
- Tricare
- Medicare Part B
Greater Tri-Cities IPA plans: File grievances directly with your health plan using the procedures listed above or the customer service number on your insurance card.
United Healthcare commercial plans: Contact the customer support number on your insurance card.
Contact Our Office
- Phone: (760) 891-4687
- Fax: (760) 684-8715
- Email: info@synergyrheum.com
- Address: 6120 Paseo Del Norte, Ste L2, Carlsbad, CA 92011
Ready to get started?
Schedule an appointment or call for an introductory phone consultation to see if Synergy Rheumatology is the right fit.