BCN Advantage HMO Appeals, Complaints and Grievances Callback Form


If you have a BCN AdvantageSM HMO or HMO-POS plan, use this form to have us call you about an appeal, complaint or grievance you have related to medical services.

Fields with asterisks are required.

This field is required.
This field is required.
This field is required. This is not a valid Email.
This field is required. This is not a valid Phone Number.
When is the best time to call you?
This field is required.
Do you prefer email or a phone call?
This field is required.
This field is required.
  • Y0074_BCBSMBCNWeb_M_2024_A CMS Accepted 12262023
  • Page Last Updated Tue Feb 06 19:21:24 EST 2024