You are here: Home Insurance How To Appeal A ... Sample Cover Note ...
Information about all aspects of finances affected by a serious health condition. Includes income sources such as work, investments, and private and government disability programs, and expenses such as medical bills, and how to deal with financial problems.
Information about all aspects of health care from choosing a doctor and treatment, staying safe in a hospital, to end of life care. Includes how to obtain, choose and maximize health insurance policies.
Answers to your practical questions such as how to travel safely despite your health condition, how to avoid getting infected by a pet, and what to say or not say to an insurance company.

Sample Cover Note To A Doctor About How To Help With An Appeal

1/1

To: (name of doctor)

From:             (your name)

Date:

Re:

Dear Dr. XXXXXXX: 

My health insurer,  (name of company), has recently denied coverage for (describe denied medical situation).

The company stated that the reason for denying coverage was:   (state reason for denial). 

In order to appeal the company’s decision I need to provide (state what is needed for the claim to be decided in your favor).

Please at least state in the cover letter:

  • Your qualifications.
  • Your source of knowledge on the matter, such as experience in the specialized area, additional training, articles from journals, or the like.
  • The nature of our relationship. 
  • Detailed medical information supporting the use of the treatment or procedure or new use of a drug.
  • The source of your knowledge on the matter, such as experience in the specialized area, additional training, articles from journals, or the like.
  • Resources to support your recommendation

If it is accurate, please include a statement to the effect that denying the subject request is likely to have a negative medical impact on my health and life and be more costly in the long run.

Thank you in advance for your prompt attention to this request.

All best,


(Your name, address and telephone contact information)





Please share how this information is useful to you. 0 Comments

 

Post a Comment Have something to add to this topic? Contact Us.

Characters remaining:

  • Allowed markup: <a> <i> <b> <em> <u> <s> <strong> <code> <pre> <p>
    All other tags will be stripped.