Appeal health insurance claim denials and demand coverage for medically necessary care.
Evidence to gather
Strong documentation makes your demand letter harder to ignore.
- Contracts, invoices, or receipts tied to the dispute
- Photos, screenshots, or inspection reports
- A written timeline of events and communication
If they ignore your letter
Be ready to escalate with small claims or a regulatory complaint once your deadline passes.
The Consumer Refund Playbook
Receipt is Your Weapon
Proof of purchase, order confirmations, credit card statements. No receipt? Check your email.
Document the Problem
Photos, videos, screenshots of defects or unfulfilled promises. Evidence wins cases.
Paper Trail Everything
Every email, chat, and phone call with customer service. Document their refusals.
Consumer Protection Laws Have Teeth
Many jurisdictions allow recovery of 2-3x damages for willful consumer violations. Know your rights.
Common Denied Health Insurance Claim Issues
Our demand letter generator helps you address these typical problems:
- Prior authorization denied
- Service deemed not medically necessary
- Experimental treatment denial
- Wrong diagnosis code
Denied Health Insurance Claim Checklist
Gather these details before you generate your letter:
- Denial letter with specific reason codes
- Medical records supporting necessity
- Doctor letter of medical necessity
How It Works
Describe Your Issue
Tell us about your Denied Health Insurance Claim dispute, including dates, amounts, and what happened.
Select Your Location
Choose your state or region so we can include relevant laws and legal citations.
Generate Your Letter
Our AI creates a professional demand letter with proper legal formatting and references.
Send to Recipient
Download your letter and send it via certified mail or email to the other party.
Denied Health Insurance Claim Demand Letter by State
Get state-specific legal citations and requirements:
See all 50 states & territories
Similar Consumer Refunds Issues
Who to Send Your Demand Letter To
Demand Letter to Car Dealership
Generate a demand letter to a car dealership for misrepresentation, defects, or sales fraud.
Demand Letter to Gym / Fitness Club
Generate a demand letter to a gym or fitness club for membership cancellation issues or unauthorized charges.
Demand Letter to Auto Repair Shop
Create a demand letter to an auto repair shop for faulty repairs, overcharging, or unauthorized work.
Demand Letter to Hotel / Vacation Rental
Generate a demand letter to a hotel or vacation rental for refund issues or misrepresented accommodations.
Helpful Guides
Consumer Protection Laws by State | 2026 Guide
State-by-state consumer protection laws, agencies, and how to file complaints when businesses refuse to refund or resolve disputes.
Lemon Laws by State | New & Used Car Guide
State lemon law coverage, requirements, and how to demand a refund or replacement for defective vehicles.
How to File an Attorney General Consumer Complaint
Step-by-step guide to filing a consumer complaint with your state attorney general office.
Common Questions About Denied Health Insurance Claim
How many levels of appeal exist?
Typically internal appeal, then external review. Federal law guarantees external review rights.
Should my doctor help with the appeal?
Yes. A letter of medical necessity from your doctor significantly strengthens appeals.
Ready to Create Your Demand Letter?
Generate a professional denied health insurance claim demand letter in minutes. Our free tool creates legally-formatted letters with relevant consumer protection and contract law references.
Generate Your Demand Letter Now