Sample Appeal Letter for Pre-Authorization Denial

Headache & Migraine Disease

Sample Appeal Letter for Pre-Authorization Denial

Use this sample appeal letter for guidance when your health insurance company has denied a test, medication, or service before you’ve had it.

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Sample Appeal Letter for Pre-Authorization Denial (.pdf)

Resources

For Physicians: How to Write an Effective Letter of Medical Necessity

For Physicians: How to Write an Effective Letter of Medical Necessity

What Does an Approved Pre-Authorization Mean?

What Does an Approved Pre-Authorization Mean?

Navigating Pre-Authorizations: Medications

Navigating Pre-Authorizations: Medications