{Name}
{Address}
{Phone #}
{Date}
Dear {representative}:
I was shocked and dismayed to receive notice on {date} that {insurance company} denied payment for {procedure}. I've received a bill from {physician/medical center} for {amount}. I cannot pay this.
Before consenting to {procedure}, I contacted your company to ensure that the doctor and facility were in-network. In an abundance of caution, I also obtained the "code" for the procedure. Nevertheless, the denial letter states that {procedure} was not covered due to {reason}.
This is egregious and unacceptable. I did my due diligence and now the entire financial wellbeing of my family, not to mention future heath care for {condition}, is in jeopardy.
Please take all necessary steps to rectify this error. It is causing my family great stress at a time that we should be focused on recovery.
Sincerely,
{Sender Name}
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Index of Hardship Letter Examples