Appeal sample letter against timely filing denial

The below appeal sample letter for appealing against timely filing limit denial, we need to submit this letter with claim submission proof.

Practice name
Address
Phone#
________________________________________________________________________

11th September 2009

To

The Claims Adjudicators

UNIVERSAL HEALTHCARE
P O BOX 294
ST PETERSBURG, FL-33731
Dear Sir / Madam

Sub.: Appeal of Medical claims pertaining to Dates of Service 11/26/2008 ……………………

We had already submitted claims to you for the patients (Patient names) but the claims has been denies for lapse in timely filing limit. But as per our records the claims had been submitted within the timely filing limit deadline and we have attached all the details herewith. We are having all these accounts sitting in our books as outstanding for no fault of ours.

In this context, we request you to kindly have these claims re-processed and expedite reimbursements on these claims. Also we would be left out with no other option except to go ahead and bill the patients for these if we do not hear back from you.

If you have any clarifications on this, please feel free to call us at (phone number)

Hoping to hear from you soon in this context.

Thanks and Regards


Your name

Accounts Receivable – Reimbursement Specialist

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3 comments:

Anonymous said...

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Becky J said...

I haven't found a free medical billing website that has any valueable information, so I was excited to discover this one. As I was exploring the website I thought this could be a valueable tool. Unfortunately my opinion has changed since I've read the "example of appeal letter". This is the most unprofessional appeal letter I've ever seen. Sadly, there is a biller out there somewhere sending this kind of letter to insurance companies, worse, there is a physician entrusting this person to work in his billing department.
Whoever chose this particular letter to use as an example obviously wasn't paying attention. I'm unable to trust the information provided on this website as "tried and true", fearful that the same person that chose the letter is also responsible for verifying this information to be accurate.
Becky J
Medical Biller

Lisa said...

I so thankful i found this letter. searching for so long and this was most perfect! Sample Letters

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