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Get CA Blue Shield A52129-FF 2019

Grievance. For your convenience, the form below is available to you to use. You may submit this form by mail to: Department of Managed Health Care Help Center 980 9th Street, Suite 500 Sacramento, CA 95814 You may submit it electronically at www.HealthHelp.ca.gov. Please see the Grievance/Complaint Instruction Sheet for more information about submitting a grievance to the Department of Managed Care. Please complete the following items: Full name of enrollee, subscriber, or group contract holde.

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