Scribd Logo
Upload

Welcome to Scribd!

  • Insurance Denial Letter

    Uploaded by

    Keller Brown Jnr
    103 views1 page
    Patrick Cartolano's insurance company denied a claim for Coverage of Family Liability Protection. His doctor, Alan Garely, wrote a letter requesting the insurance company reconsider their denial. The insurance denied the claim because medical assistance was not needed and third party insurance had not been paid since July 2021. However, the doctor provided no information about medical emergencies in Patrick's history. The doctor believes the Coverage of Family Liability Protection is medically necessary and has included the prescribing information. He requests the insurance company review the additional documentation and overturn their denial of coverage.

    Original Description:

    Sample Insurance Denial Letter

    Original Title

    Insurance Denial letter

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    Patrick Cartolano's insurance company denied a claim for Coverage of Family Liability Protection. His doctor, Alan Garely, wrote a letter requesting the insurance company reconsider their denial. The insurance denied the claim because medical assistance was not needed and third party insurance had not been paid since July 2021. However, the doctor provided no information about medical emergencies in Patrick's history. The doctor believes the Coverage of Family Liability Protection is medically necessary and has included the prescribing information. He requests the insurance company review the additional documentation and overturn their denial of coverage.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    103 views1 page

    Insurance Denial Letter

    Uploaded by

    Keller Brown Jnr
    Patrick Cartolano's insurance company denied a claim for Coverage of Family Liability Protection. His doctor, Alan Garely, wrote a letter requesting the insurance company reconsider their denial. The insurance denied the claim because medical assistance was not needed and third party insurance had not been paid since July 2021. However, the doctor provided no information about medical emergencies in Patrick's history. The doctor believes the Coverage of Family Liability Protection is medically necessary and has included the prescribing information. He requests the insurance company review the additional documentation and overturn their denial of coverage.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    10/29/2021

    Marci Waterman
    GEICO Insurance Company
    72-02 Austin St,
    Queens County,
    NY 11375, Amurka
    (516) 773-8604

    ATTN: Prior Authorizations / Appeals

    Re: Coverage of Family Liability Protection


    PATRICK M CARTOLANO
    Policy Number: 254H089SJ425
    Date of Birth: 02/15/1972
    Diagnosis: No diagnostic proccessed

    To whom it may concern:

    I am writing to request a review of a denial for coverage of Coverage of Family Liability Protection for PATRICK
    M CARTOLANO. Your company has denied this claim for the following reasons:
    [Medical assistance was not needed. Third party insurance has not been paid for since July
    2021]

    PATRICK M CARTOLANO’s medical history and course of treatment are as follows:


    [No medical emergencies]

    Based on the information provided above, the use of Coverage of Family Liability Protection is medically
    appropriate and necessary for PATRICK M CARTOLANO. I have enclosed a copy of the full Prescribing
    Information for Coverage of Family Liability Protection.

    I respectfully request that you review the additional documentation provided and consider overturning your
    coverage decision regarding Coverage of Family Liability Protection for PATRICK M CARTOLANO.

    Thank you for your prompt attention to this matter. I look forward to your reconsideration. If I can provide
    any additional information, please contact me.

    Regards,

    Alan D. Garely
    Family Medicine Physician
    Garely Alan D MD FACOG FACS
    (718) 639-3600

    080-2036-PM 4/21

    You might also like