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US Family Health Plan

Timelines for Appeals and Grievances

There are four ways to file an appeal or grievance: online, by fax, by mail, or by phone. The table below lists the turnaround time for US Family Health Plan appeals and grievance submissions.

Type of Inquiry	Timeline for Submission	Applies to	Appeal Review	Standard Turnaround Time	Expedited Turnaround Time
Payment	90 calendar days from denial date	Denied payment for a service already received	US Family Health Plan	Within 90 calendar days	Not available
Service	Three calendar days from denial date	Denied request for a health service not already received	US Family Health Plan	Within 30 calendar days	Within three business days
Grievance	Any time	Member dissatisfaction	US Family Health Plan	Within 30 calendar days	Within three business days

How to File An Appeal or Grievance

Download Appeals & Grievances Form and fax it to 1-866-416-2840 or mail it to:

CHRISTUS Health Plan
Attn: Appeal and Grievance Dept.
PO Box 169009
Irving, TX 75016

Last Updated: 11/04/2019