Dental Insurance Appeal Letter Sample

Dear Mr. Chattopadhyay,

I hope this letter finds you well. I write with hope you can help me regarding the above referenced dental claim for my root scaling. This procedure was performed on the 15th of July this year. I was assured by my dentist this was a relatively common and insurable procedure and that he had received pre-authorization from the insurance company.

I received a letter two days ago (September 7) telling me the claim was denied as the procedure was considered unnecessary and thus not covered.I spoke with two representatives at your company (employee badge numbers 76542 and 60031) and was told the underwriters had already made their decision and there was nothing they could do to reverse it. This is why I am writing you. As a managing agent I was told you could speak with the underwriters. I am attaching a letter from my dentist for why the procedure was necessary as well as a copy of the page from your company’s handbook which shows the procedure is covered.

I would appreciate knowing why this decision cannot be reversed as it is obviously part of my plan.

Thank you,

Herman Rockford