2nd Level Appeals and Grievance Committee
The Appeals and Grievance Committee is a non-partial group of Hometown Health physicians and/or employers who offer Hometown Health benefits to their employees and Hometown Health representatives. Their purpose of these guidelines is to set expectations for both Committee Members, as well as, Hometown Health Representatives which demonstrate a coordinated process and results in a positive customer experience for our Hometown Health members.
Committee Member responsibilities:
Attend and participate in regularly scheduled 2nd level appeals meeting
If Committee Member cannot attend a meeting under normal circumstances, Member will contact an alternate member to attend in their absence (contact information to be provided to all Committee Members)
Promptly (no more than 2 business days) respond to any correspondence from Hometown Health Appeals and Grievance coordinator.
If a Member chooses to cease their participation on this Committee, they must do so in writing, at minimum, 2 months prior to their desired expiration date.
Hometown Health responsibilities:
Set up reoccurring meeting invitation and include all active and alternate members
Send all appeals and grievances documentation to members 5 business days prior to meeting
If no appeal or grievance is on the agenda, Hometown Health representative will send out a meeting cancellation no later than 5 business days prior
