Because all cases are unique and fact dependent, there is no standard template for a letter of appeal to an insurance company. However, we have included sample appeal letters to demonstrate persuasive arguments for different situations. It is important to follow the appeal steps outlined in the client’s policy.
Helpful Information to Include in a Letter:
- Date/Nature of the insurance denial
- Description of the medical and treatment history of your family member (you can get this information from the medical records, and/or from direct communication with the treating physician)
- Name and contact information for the treating physician (you may also want to indicate if the physician has expressed willingness to be contacted by the insurer)
- See "Common Reasons for Insurance Denials" for common denials and sample responses and resources to educate insurance providers.