Name of Manual - Blue Cross and Blue Shield of Minnesota

Blue Plus
Quality of Care
Complaint
A quality of care complaint is an additional right of Blue Plus
members. Members may complain if they feel the quality of their
care has been reduced. Some examples of quality of care
complaints are listed below. Members may file a complaint if they
believe:
• They are not receiving an appointment in a reasonable amount
of time
• The PCC is not referring them to a specialist when it is
necessary
• The provider/provider office was rude or discourteous
• The provider is unable to diagnosis or treat their condition
We immediately supply the provider with a copy of the complaint
and involve the provider in the solution. We are required by the
Department of Health to complete these complaints in 30 days,
therefore; we require your expedited attention to any request we
may have.
6-10 Blue Cross Blue Shield of Minnesota Provider Policy and Procedure Manual (12/27/10)