What is Mediation?
MPRO Information Line
For more information on how mediation may be used to resolve
your complaint, call MPRO.
1-800-365-5899 Toll
Free
9:00 a.m. to 4:30 p.m.
Monday through Friday
1. How will I know
if my complaint is appropriate for mediation?
Not all complaints are appropriate for mediation. An MPRO
physician reviewer determines if the case is suitable to be
resolved by both parties.
2. What are the
key features of a mediation session?
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The session is facilitated by a professional, impartial
third person (the mediator).
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The session is usually conducted face-to-face but can also
be conducted over the telephone. It typically takes two to
four hours.
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The session is strictly confidential. The discussion is
not documented and cannot be used in any legal proceedings.
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You and your physician/provider determine the solution
to your complaint.
3. Can I bring
someone with me to the mediation?
Yes, if agreed to by the other party, you may bring a family
member or designated representative to the mediation. You may
also be provided with a mediation advisor, who is a trained
professional that can answer your questions about the mediation
process.
4. How will mediation
affect my relationship with my doctor or healthcare plan?
Participants often report improved relationships after the
mediation session. If your doctor or provider agrees to participate,
he/she is also committed to improving communication.
5. I am interested
in the mediation option, what do I do?
Call MPRO at 1-800-365-5899. You will be directed to an individual
who will be able to walk you through the process that follows.
Keep in mind that not all complaints are suitable for mediation
and you and your doctor or hospital representative must agree
to participate in mediation before moving forward.
6. How does
mediation affect my benefits under Medicare?
Participation is voluntary. If you choose not to participate
your benefits under Medicare are not effected.
