Insurance Claim Denial Appeal Letter

Insurance Claim Denial Appeal Letter

[Your Company Name]

[Your Company Address]

[Your Company Email]

November 10, 2050

Vital Care Assurance Corporation

3102 Hickory Lane,

Washington, DC 20005
vitalcareassurancecorp@armyspy.fict

Dear Vital Care Assurance Corporation,

I am writing to appeal the denial of my recent health insurance claim submitted on October 27, 2050, for a Medical Procedure of Chemotherapy. The denial stated that the treatment received was not pre-authorized, leading to the denial of coverage.

I wish to provide clarification on this matter. The pre-authorization request for the medical procedure was submitted on October 27, 2050, well in advance of the scheduled treatment. However, it seems there may have been a miscommunication between the healthcare provider and your company, resulting in the denial based on the perception that pre-authorization was not obtained.

I am attaching copies of the pre-authorization request and the confirmation of submission for your review. These documents indicate that the necessary steps were taken to seek approval for the procedure promptly.

The medical procedure in question was crucial for my health, as confirmed by my healthcare provider. I am appealing this decision in the hope of a reassessment, taking into account the documented pre-authorization request and the critical nature of the procedure for my overall well-being.

I appreciate your prompt attention to this matter and look forward to a favorable resolution.

Best regards,

[Your Name]

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