Resolución de reclamaciones

Formulario de resolución de reclamaciones

"*" señala los campos obligatorios

Complainant Name*

Nombre Apellidos

Complainant Phone*

Complainant Email

Member Name*

Nombre Apellidos

Complaint Type*

Medicaid ID

Complaint Info*

Date of Issue*

MM barra DD barra AAAA

Warm Transferred to Health Plan?*

Yes

Health Plan*

Agent Name*

Nombre Apellidos

Por favor llame a MediTrans al (855)369-3723 para programar su viaje y con gusto lo llevaremos a su cita.

Por favor llame a MediTrans al (844)613-1638 para programar su viaje y con gusto lo llevaremos a su cita.

Por favor llame a MediTrans al (877)917-4150 para programar su viaje y con gusto lo llevaremos a su cita.

Por favor llame a MediTrans al (877)917-8164 para programar su viaje y con gusto lo llevaremos a su cita.

Por favor llame a MediTrans al (866)430-1101 para programar su viaje y con gusto lo llevaremos a su cita.

Please call MediTrans at (855) 369-3723 to schedule your ride and we will be happy to get you to your appointment.

Please call MediTrans at (844)613-1638 to schedule your ride and we will be happy to get you to your appointment.

Please call (888)913-0364 to schedule your ride.

Note that this is for informational purposes only, and MediTrans has no current affiliation with this Health Plan.

Please call MediTrans at (877)917-4150 to schedule your ride and we will be happy to get you to your appointment.

Please call (866)726-1472 and insist that MediTrans be your transportation provider.

Please call (855)369-3723 and insist that MediTrans be your transportation provider.

Please call MediTrans at (877)917-8164 to schedule your ride and we will be happy to get you to your appointment.

Please call MediTrans at (866)430-1101 to schedule your ride and we will be happy to get you to your appointment.