Medical Appeals Tool Kit

Medical Appeals Tool Kit

The Medical Appeals Tool Kit provides information and resources to help consumers who wish to file their own appeal with their health insurance company. This tool kit provides the following information and resources to assist you with the Appeals Process:

• What is an Appeal?
• How to File an Internal Appeal
• Sample Appeal Letters
  • Sample Letter to requesting documentation from the health insurance company about your denial.
  • Sample Letter for a "not medically necessary" denial.
  • Sample Letter for a "not medically necessary" and "investigational" denial.
  • Sample Letter to appeal denial based on health care setting.