Coordinated Care Corporation has sold its Ambetter health plans through Washington’s Exchange, Washington Healthplanfinder. The Office of the Insurance Commissioner found that the company did not maintain an adequate network of medical providers and has wrongly charged some enrollees for covered services. The company agreed to a compliance plan and is taking steps to fix its provider network and reimburse all consumers who were incorrectly billed.
What steps are happening?
Coordinated Care is sending a letter to every Ambetter enrollee alerting them to contact the company if they have had difficulty using their benefits or if they were charged more than they expected. Not everyone is affected, but we believe it's important to notify all enrollees.
What if I’ve already filed a grievance or an appeal?
In addition to receiving a letter, you also may get a phone call from the company explaining if you might have additional rights grievance or appeal rights.
What should I expect next?
We will be closely monitoring the company's progress to meet the terms of its compliance plan and encourage you to work with them on any outstanding issues you may have. If you are not able to resolve these issues, or if you have questions or concerns about the process or your rights, please contact us.
How to contact Coordinated Care
Coordinated Care special Toll Free Number
1-844-238-0300, 8 a.m. and 5 p.m. Monday - Friday.
Attn: Grievances Coordinator
1145 Broadway, Suite 300
Tacoma, WA 98402
Fax Number: 855-218-0588
Ambetter/Coordinate Care Member Portal (https://ambetter.coordinatedcarehealth.com)
Secure messaging is available. Please label the subject line in your request: “Remediation of Consent Order”