Do not become emotional while writing the letter even though you are highly likely to be angry and annoyed, keep a professional tone. Write in after a thorough homework on knowing your rights and also the facts that serve your cause.
While opening the letter, make it clear that you are appealing for the denial. Mention the treatment routine that you were following while with the same policy and also attach medical records which will help your cause.
Sample for the Appeal Letter to Insurance Company
May 4, 2011
23rd West Arcade, Main Square,
Getty City, 67578
3rd Floor, South West Tower,
Inner City, 75787
Re: Patient: Trump Trunk
Policy Number: 68387-D
Treatment Dates: October 25, 2011- December 9, 2011
Billed Amount: $3,300
Dear Mr. Hopkins,
My uncle has been a cardiac patient since the last four years now and has been visiting the National Hospital regularly. The doctor has recently suggested a change in routine due to his condition getting critical gradually.
This is a stage that anyone could have predicted, so kindly keep the acuteness of the situation in mind and reconsider the denial.
I have enclosed all the relevant medical documents and the certification of the doctors in order to convince you.
Waiting for your response,
Template for the Appeal Letter to Insurance Company
Your city, state, ZIP
Your phone number
Attn: Claims Director name
Claims Director title
Name of insurance company
Insurance company address
City, state, ZIP
Re: Patient: patient’s full name
Policy Number: policy number
Treatment dates: list all individual dates and date ranges of treatment
Billed Amount: total amount billed by your doctor(s)
Dear (write in the name of the Claims Director if possible)
I am writing in this appeal because my cousin has reached a critical stage in the disease and now needs constant medical supervision. Keeping the severity of the condition in mind, please reconsider you decision of denying the insurance.
I will wait highly anxiously for your response.
Your typed name