MM2
Home  |  Plans & Benefits  |  Pharmacy  |  Vision  |  Providers  |  ENROLL NOW  |  About Us  |  Contact Us
MM2

Customer Service and Member Complaint Procedures

Our Customer Service operators can be reached 24 hours a day. The phone number is (305) 662-4066.
When an incident call is received, our operators prepare an incident report. The report is sent to management for inquiry and resolution.
• The Provider Resources Director is in charge of provider and hospital issues.
• The Customer Service Director is in charge of customer service issues.
• The Membership Services Director is in charge of MedMore Card issues.
• Billing problems are delivered to the Controller.
• Incidents and/or Complaints are resolved within ten business days.
Once the review is completed and a resolution is reached, a MedMore representative contacts the member who reported the incident. A written record to the review and resolution is then created and filed.
If the Member is dissatisfied with the resolution, the Member may complain to MedMore's senior management. To do this, the Member must submit the complaint in writing to the President of MedMore. Management will then review the written complaint within thirty calendar days of receipt and respond to the member in writing.

Atención al Cliente y Procedimientos de Quejas

Nuestro Departamento de Atención al Cleinte está disponible las 24 horas. El teléfono es (305) 662-4066.
Cuando se recibe una llamada reportando algún incidente, el reporte es enviado a la Gerencia para averiguación y solución.
• El Director de Proveedores es responsable por doctores y hospitales.
• El Director de Atención a Socios es responsable por el servicio a clientes.
• El Síndico es responsable por cuentas y cobranzas.
Una vez que la revisión es terminada y se llega a una resolución, un representante de MedMore contacta al Socio que comunicó el incidente. Se crea entonces un reporte escrito describiendo la respuesta y se archiva.
Si el Socio no queda satisfecho con la solución, el Socio tiene la opción de elevar una queja al nivel más alto dentro de la administración de MedMore. Para esto, el Socio debe contactar al Presidente de MedMore por escrito. La administración entonces revisará la queja escrita dentro de los 30 días calendario siguientes y le responderá al Socio por escrito.


MedMore Plan IS NOT INSURANCE. THIS IS NOT A MEDICARE PRESCRIPTION DRUG PLAN.
The plan provides discounts at certain health care providers for medical services, plan members are obligated to pay for all health care services but will receive a discount from those health care providers who have contracted with the discount medical plan organization.
MM2

MedMore© 2010. Tradename for Assured Options System Inc.                  Policy  |  Terms & Conditions Complaint Procedures