Hardship Letter Examples

   Timely Filing Appeal Late

{Your Name}
{Your Address}
{Your Phone #}


Dear {Name}:

On {date}, I received a notice from your office informing me that the medical claim for patient {ID No.} totaling {amount} has been denied. I respectfully request that you make an exception in this case, due to unknown and emerging information that occurred at the deadline.

I understand that you require all claims to be submitted after no more than {number} days. The patient in this instance did not believe that {he/she} was insured for the procedure because {reason}. Our office was not informed that {he/she} was covered until {date}, due to {reason}. While we complied and submitted the claim within {number of days}, we had at that point surpassed the deadline.

I do apologize for the inconvenience, but we performed all due diligence at every step. The misunderstanding occurred between {parties}, and we are making every attempt to ensure that the patient receives proper care. Thank you for your time and consideration.

Thank you,

{Sender Name}

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Index of Hardship Letter Examples