This easy to read guide features sample appeals letters, specific strategies to use when negotiating the internal and external appeals processes and specific instructions to follow when all appeals have been exhausted and it's time for the next step. Principles used by the case managers at the Patient Advocate Foundation are reflected throughout the publication.

Contents

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Introduction

Step 1: Gather Preliminary Information

Step 2: Understand the Illness and the Insurance

Step 3: Write the Appeal Letters

Step 4: Evaluate the Result

When to Consult an Attorney

Credits & Acknowledgements

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