Re: who should send appeal letter?

[Guest guest]

When in doubt, try all three - write your letter, then write a letter to your

pediatrician and orthotist enclosing your letter to the insurer and ask them to

write letters on your behalf. Make sure to tell them the time sensitive nature

of your request.

As to whether you should send the appeal letter, you are the insured - you have

a contract (the insurance policy) with the insurer, so technically, you're the

only person who has standing to appeal anything to the insurance company. You

are the proper person to send the appeal letter.

Best of luck in your efforts!

Jocelyn

ton, IL

>

> Hi all,

>

> Looking for some advice on who should send my denial of coverage appeal

letter....

>

> I was told by my companies human resources assistant that the letter should

come directly from the orthotist (Hanger) or my pediatrician. However, I am

writing all 8 pages of it because neither of them have time to be as thorough as

I am being. Both of them are writing letters of medical necessity to argue

against the denial and I will be including them in the appeal letter package,

however, I am wondering if there is some technicality or loophole I am missing

that insurance will deny it just because I sent the letter.

>

> Anyone had any appeal letters refused or denied just because it didn't come

from the doctors office?

>

> Thanks again!

>

> I am almost done with the letter and will post it in the files section if win!

>