Report Missing or Incorrect Provider Information

Use this form to tell us about wrong or missing provider information. You can also use it to tell us about issues getting care. We value your input. It helps us make sure our network can serve our members. This form is anonymous.

If you need help getting care, please call us. Call us at 866-833-5717 to talk to a care coordinator.

You are:

A member

A provider or practice

Colorado Access staff (reporting for a member or provider)

Other

Type of Member Insurance:

Provider or practice/clinic name to tell us about:

Please list the practice/clinic city or zip code if available:

Type:

Tell us the provider type:

Provider/clinic phone number called:

Phone

Issue or update needed:

Provider no longer accepting patients

Provider phone number wrong

Provider or practice no longer in business

Provider address wrong

Could not find an available provider for the service or condition the member needed

I had trouble using the Find a Provider search tool

Other

Were you able to find the provider/service you needed in the "find a provider" search?

Yes

Were you able to find the provider/service you wanted?

Yes

Submit a Complaint (Grievance)

To submit a complaint or grievance:

Call our customer service team at 877-830-8189, or submit a complaint here.

Send me a copy of my responses

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