Grievance Form

Use this form to send in a written complaint or concern about issues that cannot be appealed, such as access to care or quality of care. The grievance may be against any member of your health care team, including your TRICARE doctor, Health Net Federal Services, LLC (Health Net) or a Health Net subcontractor.

Note: Disputing a Point of Service charge should not be submitted as a grievance. Please visit our Disputing Point of Service Charges page to learn more.

  • Created: Jun 11, 2014
  • Modified: Mar 11, 2014
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