____________________ [name of the recipient]
____________________ [designation of the recipient]
____________________ [name and address of the recipient/dental insurance company]
Date: Mention the date on which the letter is written
Subject: Dental Claim Appeal Letter
Respected Sir/Madam _________ [salutation]
I am writing this letter to appeal about dental claim against my policy number __________ [mention the policy number of your dental insurance or claim]. The dental insurance that I took from you covered the claim of dental procedures such as root canal treatment, _________, _________ [mention other treatments of procedures that are covered]. I have got my dental treatment done from ______________ [name of the dental clinic from where treatment is taken] dental clinic on _____________ [mention the date on which the treatment was done].
According to the policy, I am well within my rights to cover __________ percent [mention the percentage of claim that you are entitled to cover] after the deductibles have been met. Till date, I have reached my deductibles and therefore writing to appeal for the dental claim.
I request you to kindly help me in this regard and respond to your earliest convenience. Please feel free to contact me on _________ [mention sender’s contact information], if you need further information from my side.
_______________ [sender’s name]