Insurance Claim Letter for Reimbursement

Insurance Claim Letter for Reimbursement

[YOUR NAME]

Virginia Beach, VA 23450

222 555 7777

[YOUR EMAIL]

September 20, 2055

Garfield Williams

LudoSpace

Claims Department
Raleigh, NC 27601

Subject: Request for Reimbursement for Medical Expenses

Dear Mr. Williams,

I am writing to request reimbursement for medical expenses incurred under my policy, number ABC123456. On September 10, 2055, I received medical treatment for a broken ankle sustained in an accident. The total expenses for the treatment amount to $1,200.

Attached are copies of the medical bills, receipts, and other supporting documents related to this claim. The detailed breakdown of the expenses is as follows:

  • Emergency Room Visit: $500

  • X-rays and Diagnostic Tests: $300

  • Orthopedic Specialist Consultation: $200

  • Cast and Follow-Up Appointments: $200

I kindly request reimbursement of the total amount of $1,200. Please process this claim at your earliest convenience. Should you require any additional information or documentation, please feel free to contact me at 222 555 7777 or [YOUR EMAIL].

Thank you for your prompt attention to this matter.

Sincerely,

[YOUR NAME]

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