PFFS Member Rights - Grievances

What Is a Grievance?

If you have a problem with any of our medical policies and procedures, you may file a grievance. You cannot be dropped from the plan for making a complaint.

How to File a Grievance:

You or your doctor may call Customer Service to verbally file a grievance or to check on the status of a grievance:

1-800-841-7434
TTY/TDD users should call 1-888-423-9490
8 a.m. to 9 p.m. ET, 7 days a week

From March 1 to September 30, you may be required to leave a voice mail on weekends and holidays. Calls will be returned within one business day.

Complete the Grievance Form . Supporting statements from your physician are required. Mail or fax to:

BlueCross BlueShield of Tennessee
BlueAdvantage Operations
Appeals/Grievance Coordinator
1 Cameron Hill Circle Ste 0005
Chattanooga, TN 37402-0005

Fax: (423) 535-5270

More Detailed Information is Available

This information is a brief overview of the BlueAdvantage medical grievance process. Please see Chapter 9: Section 10 of your Evidence of Coverage for more information.