Type of Concern

Provider Complaint or Grievance:
Please select this option if you are a provider who wants to file a complaint or grievance about Vaya Health or a Vaya employee. Note that we do not have the authority to process complaints or grievances about the NC Department of Health and Human Services or its Divisions or county government agencies such as DSS or a health department.

Other Concern:
Please select this option if you are a provider who wants to file a concern that is not a complaint or grievance about Vaya Health or a Vaya employee. Examples include, but are not limited to, potential fraud, quality of care, or health and safety issues involving another provider in the Vaya network, concerns about issues under the authority of the NC Department of Health and Human Services (e.g. licensure, clinical coverage policy requirements) or other issue.

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Examples of other concerns you can submit:

Billing or Documentation: Report concerns about accounting, billing, coding, or documentation for claims involving public healthcare funds.

Confidentiality: Report concerns about unlawful or inappropriate disclosure of sensitive information, including but not limited to protected health information, personally identifiable information or substance use treatment information.

Conflict of Interest: Report concerns about a potential conflict of interest involving another provider or a Vaya Health staff member, including but not limited to inappropriate gifts or donations.

Customer Service: Report a concern about the customer service provided by another provider or a Vaya Health staff member (for example, rudeness or inappropriate interaction).

Failure to Follow the Law: Report potential violation of laws, rules, regulations, policies, or standards that apply to the operations of Vaya Health or its providers.

Fraud or False Claims Act Violation: Report potential fraud (for example, billing for services not provided).

Health and Safety: Report a concern about member health, safety, or welfare.

Member Rights: Report a concern about potential violation of a member's rights, including but not limited to inappropriate use of restrictive intervention.

Misuse of Vaya Resources: Report unauthorized or fraudulent use of Vaya resources, facilities, equipment, or assets.

Quality of Care: Report concerns about the quality of care delivered by a Vaya Health contracted provider.

Other: Item that does not fit into any category above.

Report a Concern by Phone:

Dial toll-free, within the United States, Guam, Puerto Rico, and Canada:

If you need help filing a complaint or grievance, please call Vaya Health’s Provider Line at 828-225-2785 ext. 1512.