Medical Necessity Template Letters

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Sometimes, third-party payers require pre-authorization, or a denied claim may need to be appealed with information about the clinical basis for orthotics prescription. These support tools are editable template letters with suggested content to use when submitting this information. Download, review and save these documents for future use. NOTE: Once you click on the resource, look for the document in your downloads or taskbar. Unlike a PDF, these will not open up on your desktop.

Sample Letter of Medical Necessity for Custom Functional Orthotics
Letter of Medical Necessity and Pre-Authorization for Functional Orthotics-Template

Sample Recoupment Rebuttal Letter

Download Support Tool This letter can either be used as a template that you can customize and use as needed or that you can use as an example if you prefer to write your own rebuttal letters. It can be a great time saver and help you ensure that you include all of the pertinent...
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Appeal Template Letters

Download Support Tool Having a selection of Appeals Letter Templates in your arsenal can be a real time-saver. This ST houses a wide cross-section of appeals letters that you can customize to meet the most common situations that you might encounter. They guide you through all of the information needed to help you be successful...
OOPS, this page contains content reserved for KMC University members. We’d love to welcome you to the KMC University family because there is an amazing amount of helpful content in the trainings and resources of the KMC University Library. Click here to learn more.