Writing an Appeal

Writing an Appeal

  1. Stick to the facts. Even though your emotional response is strong,your appeal needs to be as factual as possible.
  2. Identify what you are appealing.
  3. Include all provider required information such as date of service, health provider information, claim and policy number, etc.
  4. Use the same terminology as the insurance provider throughout your appeal, especially when stating why their denial should be overturned(Hint:Refer to your benefit or policy packet).
  5. State the resolution you are seeking in measurable terms. For example, you may ask for full coverage for 2 cycles of IVF within 30 days.
  6. Inform the insurance provider of what next steps you are prepared to make should they uphold the denial. For example, you may file a complaint with the Division of Insurance within your state.
  7. Attach as much supportive information as possible to your appeal.
You will find studies, facts and resources to use within the “Supportive Information” page.