Letter for Billing Problems

Letter for Billing Problems :

This Letter for Billing Problems should be written in The Letter-Pad of the Company.

From :

The Sender's Name,
Door Number and Street's Name,
Area Name,
Postal Code : XXXXXXX
Phone Number : 0000 - 123456789
E-mail ID : sendersname@companywebsite.com

Date :

Reference :

TO :

Addressee's Name,
The Company's Name,
Full Address with Phone Number.

Subject :

Dear ____,

I am writing to request that [name of medical group OR healthplan] cover a bill I received for [service, treatment ORprocedure]. The service was provided on [date] by [name ofprovider (doctor, lab, hospital, other)] to address [medicalproblem]. The bill I received is for [dollar amount] and must bepaid by [date]. I believe this bill should be covered by my[medical group OR health plan]. I called the [medical group ORhealth plan] on [date(s)], and I spoke with [name ofrepresentative] concerning the bill, but the problem has not yetbeen resolved.

I believe this bill should be paid by [name of medical group ORhealth plan] because: {List specific reasons you think the billshould be paid. Possible reasons are listed below. Choose asmany reasons to include in your letter as apply to you. The firstreason probably should be included in any billing letter.}

· [Name of service] is a covered service under my health plancoverage terms

· a referral for [service, treatment, OR procedure] wasprovided by my primary care physician

· [service, treatment OR procedure] was performed by myprimary care physician

· [service, treatment OR procedure] was performed by aspecialist to whom I was referred by my primary carephysician

· the services were medically necessary

· there are no coverage exclusions or limitations of [service,treatment OR procedure], or that apply to my case

· I have met all of my co-payment or deductible obligationsunder the health plan􀂶s coverage terms

· I could not get prior authorization before receiving [service,treatment, OR procedure] because my health care problemwas an emergency. I did call my [primary care physician,health plan or medical group] as soon as I could afterreceiving the [service, treatment, OR procedure], asrequired by my health plan.

The [medical group OR health plan's] failure to pay the billviolates [federal AND/OR state] law which requires [applicablelegal requirement]. {You can refer to the code section under thelaw that applies. For example, HMOs in California are required topay for certain services: (See Cal. Health & Safety Code § [codenumber].)}

Attached is documentation supporting your responsibility for thebill.

Please respond in writing and let me know what actions you willtake regarding this request. Thank you for your prompt attentionto this matter.

Thanking you.

Yours Sincerely,

(The Sender's Signature)

The Sender's Name

Enc :


This is a typical Letter for Billing Problems. You have to add your company's name with full address. And the receiver's name and full address also should be added in the place allotted for that purpose. Without those primary details no letter carries any significance. So, you are requested to provide all those important details. Failing which the Letter for Billing Problems will make a wrong impression about your company and you among the receivers of your letters. This is the most unwanted attitude on your side in dealing with the clients who are the most valued assets of any business organisation. If necessary, leave those spaces blank.

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    Letter for Billing Problems
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