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OTHER NAMES Letter Appealing a Medical Insurance Claim Denial

What is a Letter to Appeal a Medical Claim Denial?

A Letter to Appeal a Medical Claim Denial can help you figure out why your claim wasn't approved and challenge that decision. There are many reasons why your medical claim may have been denied but if you feel the reason given to you was inadequate then it may be a good idea to challenge that decision. A Letter to Appeal a Medical Claim Denial is a first step to resolving the issue.

Medical bills can be expensive, so don't pay out of pocket for costs that should be covered by your insurance. If your medical claim was denied then a Letter to Appeal a Medical Claim Denial can help you dispute that denial. You have a right to challenge decisions you believe are erroneous or are insufficiently explained. Sometimes, you can correct problems with a little more information: a letter from a doctor, or supplemental information about your claim or policy. No matter what the issue is, sending a Letter to Appeal a Medical Claim Denial can help you get answers, fix errors, and set things right.

When to use a Letter to Appeal a Medical Claim Denial:

Your medical claim was denied.
You want to challenge a denial.
You're asking your doctor to provide a written statement to challenge a claim.
You just want a better explanation of the denial.

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RE:	Policy Number:


Claim Number:

I am writing on behalf of the patient, . I am the parent of .

I am writing you with respect to the following claim:


Patient:


Claim number:


Provider:


Date of service:

On , received notice that this claim was denied.

I have asked to send you a letter explaining that the services were medically necessary.

Please contact me if you have any questions or need additional information.

Thank you for your attention to this matter.

Sincerely,

parent of .

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