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Grievance
A complaint filed with the plan, received orally or in writing and processed as standard or expedited.
Grievances are reported in Table 5 (GRV_C). A standard grievance must be decided within 30 days (44 with an extension) and an expedited grievance answered within 24 hours. The layout records how it was received (Oral or Written), its category, and whether it was processed as a quality of care grievance.
Sources: ODAG protocol, Timeliness 1.18-1.19, PDF p. 10; Universe Table 5, PDF pp. 37-40; CDAG protocol, Timeliness 1.15-1.16, p. 7; Classification of Requests 3.2, p. 13; Universe Table 6, pp. 53-55.