Timely Filing Due to Medical Biller Appeal Letter Free Download

Timely Filing Due to Medical Biller

Download "Timely Filing Due to Medical Biller Appeal Letter" Word Document

Appeal Letter Displayed for Your Convenience

Health Symphony Appeal Letter

For Timely Filing





[Health Plan]


[City, State, Zip]

Subscriber No: [Number]

Patient Name: [name]

To Whom It May Concern:

Enclosed are claims that were submitted to you, but have not been paid as of this date. The charges were rendered on [Date of Service] and totaled [Claim dollar total]. [Health Plan] has denied payment on these charges because [Health Plan] has indicated that these claims were not processed due to their failure to meet the applicable timely claim filing requirement.

[Medical Provider] utilizes an outside billing agency to submit their health care claims. However, the billing agency was unable to bill due to [provide a reason why the billing agency did not bill on time.] This was an accidental error, but please know that the medical biller does successfully bill in more than 95% of the time. Unfortunately, due to system issues or limitations, there are sometimes errors in this process.

Our physician provided medically necessary services in good faith. In consideration for the services rendered, our doctor is seeking reimbursement from your office. We are requesting that you reconsider your denial of this claim and process the claim for payment.

Please know that we are doing everything possible to meet your billing requirements, as [Medical Provider] has an excellent compliance record. If you have any questions, please do not hesitate to contact me at (---) --- ----. Your cooperation is anticipated and greatly appreciated.

If you have any questions please do not hesitate to contact me at [phone number].



Business Office

Your name and address

Enclosures: None