United Healthcare
Central Escalation Unit
PO BOX 30559
Salt Lake City UT 84130
Dear Sir / Madam,
Sub: 2nd Level of Appeal for the denied claim. Claim# 2349862610-00330.
Attachments: Claim Form, Medical documents and UHC denial EOB.
……………………
For (patient name) (Service date: 07/28/2009) UHC denied for the procedure code 31645 as not a covered service. Hence we have filed an appeal for this claim with the supporting Medical documents on ——–. The claim was denied again for the same reason on 02/04/10 with the Claim#23498626101234.
We called customer service and spoke with Kim, and advised us to appeal again indicating second level of appeal. The reference no for the call is C00391504425485.
In this context, we request you to kindly have this claim re-processed and expedite reimbursements on this claim.
If you have any clarifications on this, please feel free to call us at 407-123-45678. Hoping to hear from you soon in this context.
Insurance denial appeal letter
Appeal sample letter
Insurance reprocess request appeal
