Sample Letter for Requesting Managed ... - Appeal Training
Sample Letter for Requesting Managed Care Fee Schedule Renegotiation
Date
Attn: Provider Relations Representative
Insurance Carrier
Address
Re: Provider Name:
Provider Tax Identification Number:
Dear Provider Relations Representative,
This letter is to notify you that our contract with your company is nearing term or has expired. (Provider Name) has provided valuable medical services to your insured members during the term of the existing contract. According to our records, we have served approximately XX patients with (Insert Insurance Carrier Name) from (contract onset date) to (current date).
We would like to request a meeting to discuss fee schedule increases for the coming contractual term. As you are likely aware, a number of both commercial and governmental payers are increasing fee schedule allowances to offset medical organization operational costs.
Further, our office has implemented a number of quality improvement measures which we believe will result in improved care to your insured members:
(Customize the following bullet points to more accurately detail your quality improvements or create more appropriate descriptions)
Clinical performance measurement implementation
Patient Satisfaction Improvements (use of surveys, new locations, longer hours, organization of support groups)
Staffing Improvements
Technology Improvements
Please indicate your availability for this discussion. We look forward to renewing our contract with your company and providing uninterrupted high quality medical care through our partnership with your health plan.
Sincerely,
(Name)
Optional Request for Additional Disclosure
It appears that our office was not provided with the applicable fee schedule related to this contract or the applicable internal procedures for bundling, coding and outlier application which affect reimbursement. Therefore, we request that this additional reimbursement information be sent to us immediately. Disclosure of the information will allow us to more fully prepare for our upcoming discussion regarding this contract.
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- sample appeal letter for denied claim prevymis
- physician s letterhead
- cogentix home
- example letter to appeal denial of experimental treatment
- sample letter for requesting managed appeal training
- to most effectively appeal submit a letter to your health
- sample letter of medical necessity
- example letter for a not medically necessary denial
Related searches
- sample letter for new product
- sample letter for loan application
- sample letter for loan request
- sample letter for requesting help
- sample letter for surgery clearance
- sample letter for inappropriate conduct
- sample letter for promotion request
- sample letter for help
- sample letter for financial assistance
- sample letter for salary deduction
- sample letter for meeting invitation
- sample letter for a meeting