Sample Appeal Letter for Medical Claim Denial

An Appeal Letter for Medical Claim Denial is a document that you can use if you would like to appeal a decision made by your insurance company to deny your medical claim. The purpose of the letter is to convince your insurance company to review their decision, as well as provide them with evidence that their claim denial was wrongful. Generally, this kind of letter is supposed to be completed by a patient, however, they might need a doctor's note (a letter from their doctor) to support their position. A Sample Appeal Letter for Medical Claim Denial can be downloaded below.

Your appeal letter can contain three parts:

1. Introduction . You can start your document by introducing yourself and stating the reasons for writing.
2. Medical Claim Details . Here you can explain why you disagree with the insurance company's decision to deny your claim, and provide evidence to convince them to review their decision.
3. Conclusion . In the last part of the document, you can designate your contact details which includes a telephone number, postal address, and email (in case you did not include them earlier in your letter).

If you would like to provide more information to your insurance, you are welcome to include more parts in your letter.

Haven't found the sample you're looking for? Take a look at the related samples and templates below:

• Sample Letter to Insurance Company for Medical Claim;
• Medical Necessity Appeal Letter Template;
• Sample Medical Referral Letter.