What should a claim appeal letter include?

A strong appeal letter identifies the claim (patient, DOS, claim number, amount), quotes the exact denial reason code, rebuts it with specific facts and documentation, lists enclosures, and requests a written determination within the payer's required timeframe. Citing your state's prompt-pay statute signals you know your rights.

Is this appeal letter generator really free?

Yes — enter your name and email and the letter is yours to download and edit. No payment, no trial. We're a medical billing company; the tool exists because practices that see how appeals should be written often decide they'd rather have us do it.

Does the letter work for Medicare appeals?

The generated letter suits commercial and Medicaid MCO appeals. Traditional Medicare redeterminations should use form CMS-20027 or include the specific elements CMS requires — the letter can accompany that form as your argument narrative.

Free tool · Statute-cited letters

Appeal Letter Generator

Roughly 65% of denied claims are never resubmitted — mostly because writing a proper appeal takes time nobody has. This generator writes it in 60 seconds: tailored to the denial code, addressed to your payer, and closing with your state's prompt-pay statute so the payer knows you know your rights. Decode the denial first in our denial code lookup if you're not sure what it means.

The denial

Denial reason

Payer name

State (for your prompt-pay statute)

Claim number

Patient name / ID (as on the claim)

Date(s) of service

Billed amount ($)

CPT / service (optional)

Your practice

Practice name

Provider / signer name & title

Your letter is ready

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Want the appeal worked, not just written?

Our denial team files, tracks and escalates appeals daily — with the documentation, deadlines and statute citations handled. Start with a free audit of your denial backlog.

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