Answer:
a) True
Explanation:
The answer is a) True because:
Grievance procedures are usually used to address complaints or issues that might not be directly connected to a particular opinion or determination, like problems with customer service or care quality. On the other hand, the original determination and appeal processes are particular procedures associated with choices made regarding coverage, benefits, or claims. These procedures are unique from grievance procedures since they are often governed by distinct laws and require various steps.
Example:
A patient is not happy with the condition of their hospital room, as well as the nursing staff's attitude. They register a grievance with the hospital's customer service department to voice their complaints and ask that the problem be looked into.