Section 1557 Notification: Discrimination is Against the Law

Provider Network Solutions, LLC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.  Provider Network Solutions, LLC does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Provider Network Solutions, LLC provides free aids and services to people with disabilities to communicate effectively with us, such as:

• Qualified sign language interpreters
• Written information in other formats (large print, audio, accessible electronic formats, other formats)
• Provides free language services to people whose primary language is not English, such as:
• Qualified interpreters
• Information written in other languages

If you need these services, contact Provider Network Solutions Primary Number

305-284-7484 “Customer Service”

If you believe that Provider Network Solutions, LLC has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Provider Network Solutions, LLC, PO Box 523250 Miami, Florida 33152, Primary Number 305-284-7484, TTY ext. 711, Fax 305- 667-8860, Email http://www.info@pns-mgmt.com. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Provider Network Solutions, LLC “Customer Service “is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201

1-800-368-1019, 800-537-7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html