Grievances and appeals in Iowa
You or your approved representative can file a grievance or appeal at any time.
Let us know if we missed the mark
You may want to file a grievance if:
To appoint a representative to act on your behalf, please provide your written consent. Your representative can be a friend or family member, your doctor, or an attorney.
Directly submit a grievance by logging into the secure member portal or the Sydney Health mobile app. Find Grievances under Support.
You can appeal if your service gets denied
If we deny, reduce, or end treatment or services, we’ll send you a Notice of Adverse Determination. It will:
You, or your approved representative, can appeal the decision.
Directly submit a grievance by logging into the secure member portal or the Sydney Health mobile app. Find Appeals under Support.
Request for Appeal Forms
If you’d like to appeal in writing, please use one of the forms below:
Request for Appeal Form - Hawki (English)
Request for Appeal Form - Hawki (Spanish)
Request for Appeal Form - Health Link (English)
Request for Appeal Form - Health Link (Spanish)
Authorized Representative for Managed Care Appeals (English)
Authorized Representative for Managed Care Appeals (Spanish)
Have questions?
Check your member handbook or live chat with a representative in the Sydney Health app.