Have you recently been denied a claim for work you have had done? If so, then you need to write a dental insurance appeal letter.
Appeal Letter Format On January 15, Appeal letters are written to ask for the reconsideration of a decision that was not in your favor. Below is a format of an appeal letter that you can use: Include a letterhead so that the reader will know your credentials and will handle the matter professionally and with urgency.
Instead of general salutations, address a particular person. The first paragraph should contain an introduction of yourself and your concern. Write how the reader will be able to help you.
For example, I am writing to appeal for the reconsideration of insert concern. Remember to keep a polite tone to show that you are being objective and professional about the matter at hand. The second paragraph should include facts that will support your appeal.
You can refer to guidelines of the contract that you both signed or you can narrate particular events that have occurred to prove your claim. You can also refer to testimonials made by persons relevant to the reader and to your case.
The last paragraph should summarize your intentions and remember to thank the reader for taking the time to read your appeal.In the event your dental insurance company refuses to pay for a procedure that you believe to be covered under your plan, you can write a dental insurance appeal letter.
Format and Content A dental insurance appeal letter format should include the verbiage in your coverage booklet that makes you believe the procedure should be covered.
. Great-West-Life is a horrible company. They denied my application for LTD benefits despite the fact that my doctors supported my claim. I’m suffering from extreme anxiety, and stress at work on top of that chronic pain from work-related injuries and yet they told me there’s no reason for me to go on disability and I should go back to work.
Those who review claims for dental insurance carriers have been confronted by office personnel who indicate that their boss didn’t have time to write a three-page letter explaining why the patient needed a crown. The dental consultant reviewing the claim can certainly appreciate that.
Sample Appeal Letter B. Sample Appeal Letter A [Date] [Name] [Insurance Company Name] [Address] [City, State ZIP] Re: [Patient's Name] [Type of Coverage] [Group number/Policy number] Dear [Name of contact person at insurance company], Please accept this letter as [patient's name] appeal to [insurance company name] decision to deny coverage for [state the name of the specific procedure denied].
Not sure how to write your dental assistant resume? We have a professionally written resume sample and writing tips to help you land more interviews. There is a great deal of disagreement between insurance companies about whether TMJ problems are considered medical or dental.
Insurance companies will try to avoid covering the cost of temporomandibular joint related claims for several reasons.