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Managed Care Nursing

Category - Overview

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A member calls or writes a letter to the administrative office of their MCO plan to discuss concerns regarding quality of care received on their last three visits.

What is the official term used in MCO to explain the above process?

Complaint
Grievance
Appeal
Customer service complaint

Explanation

Answer: B - Grievance is the official term used by the MCO to explain a member sharing concerns regarding quality of care received.

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