PROVIDER UPDATE: In response to the temporary CHC service interruption, Simpra has contracted with Availity for claims submission. Continue to use codes SIM-01 and SIM-02. Contact your clearinghouse to determine if previously submitted claims need to be resubmitted.

Member Resources

Find tools, information, and other resources
to help you get the most out of your benefits

Appoint a Representative to File a Grievance

You or someone you name may file a complaint (grievance) or appeal for you. The person you name would be your “appointed representative”. You may name a relative, friend, lawyer, advocate, health care provider, or anyone else to act on your behalf.

To appoint a representative, fill out CMS Appointment of Representative Form (CMS Form-1696).

Print and mail the form to:

Simpra Advantage
Appeals and Grievances Department
PO Box 981842
El Paso, TX 79998-1842

For a description of, and information on how to appoint a representative, you may also call Member Services at 1-844-637-4770 (TTY/TDD 1-833-312-0044).