What is a Letter to Appeal a Medicare Part A Denial?
If you've been denied a claim, a Letter to Appeal a Medicare Part A Denial can help you figure out why, and possibly help you get the decision changed. There are a lot of details to keep track of with Medicare such as open enrollment periods and coverage exceptions. Don't panic if you've been denied a claim. It's possible to challenge that denial - or at least get more information so you're better prepared in the future. Medicare is a great program, but sometimes there are flaws. Your first step to challenging your denial is sending a Letter to Appeal a Medicare Part A Denial.
When to use a Letter to Appeal a Medicare Part A Denial:
- You've been denied a Medicare Part A claim and want more information.
- You want to challenge a Medicare Part A denial.
Re: Beneficiary's Name:
The purpose of this letter is to request reconsideration of your initial decision regarding
The name and address of the health care provider and information regarding the services received are summarized below.
|Health Care Provider:|
The date of admission or the date services began was on .
I received your initial decision on . I subsequently received notice(s) regarding this claim on:
The initial decision was made by:
I do not agree with the determination of this claim. Please reconsider this claim because
You may contact me if you have any questions or need additional information. or
Thank you for your assistance in this matter.