grieven

listen to the pronunciation of grieven
Dutch - English
grievances
plural of grievance
wrongs, hardships
A written complaint submitted by a member, which challenges any of the following: The insurer’s decisions, policies or actions related to availability, delivery or quality of health care services; claims payment or handling; reimbursement for services; the contractual relationship between the member and the insurer; or the outcome of an appeal of a noncertification decision NCGS 58-50-61(a)(6)
Formal complaints demanding formal resolution by a managed care plan
Complaints related to a specific situation or set of circumstances Striking workers often present their employers with a list of grievances such as poor working conditions, not enough time for lunch, etc