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Claim denials can be appealed; however, your chances of reaching a positive outcome are strengthened when you include a written letter outlining why you disagree with the denial.

APTA provides general tips and a suite of templated letters that can help you make your case.

Appealing a Denial

When appealing a claim denial, it may be helpful to include a written letter outlining why you disagree with the reason for denial. APTA has created template letters (located below under APTA Template Letters) for members to use in responding to insurance claim denials. Simply insert your individual information where indicated. With your appeal, include any documentation required by policy or needed to substantiate your claims. **Please note that these tools and resources do not constitute legal advice. Consultation with legal counsel may be appropriate to help identify and pursue claims that should be appealed.

APTA Template Letters: Appeals