Which of the following is an example of complaints?

• A. Allegations that items or services were not received
• B. A claim that a service was performed more quickly than promised
• C. An inquiry about appealing a denial
• D. A routine update to patient demographics

Answer: (C)

Complaints are expressions by a patient or beneficiary that they are not satisfied with a service, outcome, or administrative decision and that they seek a remedy or further consideration. An inquiry about appealing a denial fits this because it signals dissatisfaction with the denial and requests reconsideration or action, which triggers the grievance/complaint process and documentation. The other options describe issues like not receiving items or services, a claim about performance timing, or routine demographic updates—these are administrative or operational matters that don’t express a dissatisfaction demanding remedy in the same way.