Letter to Appeal a Medical Claim Denial

Was your medical claim denied? Would you like to figure out why your claim wasn't approved and challenge that decision? If so then download our premium Letter to Appeal a Medical Claim Denial template that is ready-made and easy to use. This file is perfect for those who feel that the reason why their medical claim was denied is inadequate and wants to do something about it. The file makes use of high-quality content that can be customized to better suit your needs. Why download it you ask? It’s convenience, versatility, and user-friendliness all rolled into one template. Download today!

LETTER TO APPEAL A MEDICAL CLAIM DENIAL

[DATE]

Dear [RECIPIENT NAME],

This is a formal letter of appeal for the denial of my claim for the payment of my treatment. The denial of my medical claim was received on [DATE 1] and the following reasons for denial were sighted:

[REASON]

My account details are as follows:

[APPLICANT NAME]
[POLICY NUMBER]

I understand that based on your notification of refusal of services dated [DATE 1], this procedure has been denied because of the conditions provided in the terms of my policy. This denial was not justifiable. All necessary information was not available at the time my claim was reviewed. 

I have been diagnosed as having [DISEASE] on [DATE 2]. The consulting doctor believes that it is necessary for me to undergo treatment. Enclosed is my doctor’s letter discussing my medical history in more detail. Also included are my medical records, explaining why this procedure is necessary.

I am requesting that you cover all the expenses that  I have paid in full and review my claim again. If you need further information, you can contact me at [YOUR PHONE NUMBER] or email me at [YOUR EMAIL ID]. I hope to get a favorable response from your office at the earliest.

Thank you for your time and attention to my request.

Regards,

[YOUR SIGNATURE]

[YOUR NAME]