Get our app
Account Sign up Sign in

MAKE YOUR FREE Letter to File a Medical Claim

Make document
Other Names: Letter Filing a Medical Insurance Claim
Letter to File a Medical Claim document preview

What is a Letter to File a Medical Claim?

A Letter to File a Medical Claim provides you the means to submit your health care claim to an insurance company, HMO, or anywhere else that may require it. Sometimes your physician or other health care provider may not submit forms on your behalf. In such instances, a Letter to File a Medical Claim can help you easily resolve the matter yourself. 
A doctor's visit can cost a lot, even if you just went in for a checkup; a Letter to File a Medical Claim can help you avoid unnecessary costs in case your doctor's office makes a mistake filing your claim. You deserve the benefits you're paying for yourself or you're receiving from work. If your insurance company said they never received the claim, or if they haven't contributed their share, it can be a good idea to document the process yourself and ensure all your bases are covered. Your doctor's office may have run out of forms, or someone could have made a mistake; a Letter to File a Medical Claim helps you take steps to mitigate those errors.

When to use a Letter to File a Medical Claim:

  • Your doctor's office doesn't have a claim form available.
  • You want to be prepared just in case there are any issues with your claim.

Sample Letter to File a Medical Claim

The terms in your document will update based on the information you provide

This document has been customized over 7.8K times
Ask a lawyer questions about your document







RE: Policy Number :



I am writing to file a claim for the following:






I have enclosed the following:


1. A completed claims form.

2. A statement from the provider.


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


Thank you for your attention to this matter.








Letter to File a Medical Claim document preview

Create Your Document In Just 3 Easy Steps:

Build your document

Build your document

Answer a few simple questions to make your document in minutes

Right-facing arrow
Save now, finish later

Save now, finish later

Start now and save your progress, finish on any device

Right-facing arrow
Download, print & share

Download, print & share

Store securely, share online and make copies

Right-facing arrow

Looking for something else?

Start your Letter to File a Medical Claim now and get Rocket Lawyer FREE for 7 days

Get legal services you can trust at prices you can afford. You'll get:

All the legal documents you need—customize, share, print & more

Unlimited electronic signatures with RocketSign®

Ask a lawyer questions or have them review your document

Dispute protection on all your contracts with Document Defense®

30-minute phone call with a lawyer about any new issue

Discounts on business and attorney services