Template Letters Resource Page
Common Patient Situations: From Insurance Denial to Returning to Work
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Medical Professionals:
These template letters reflect some common situations for patients, but we know the list is not complete. If there is a letter you find yourself writing over and over again, one that has proved an effective tool in your role as a patient advocate, please share it with us! Contact Nathan at insurance@PHAssociation.org or 301-565-3004 x753. |
Many insurance companies are unfamiliar with pulmonary hypertension and the complexity of treating this rare disorder. Even when they are well intentioned, medical directors and pharmacy directors may make mistakes in applying benefits to pulmonary hypertension patients.
When that happens, medical professionals and patients must work together to educate insurance providers on the correct course of action. This education may happen through a phone call from a physician to an insurance provider. More often, however, it involves a series of formal letters.
The Education Committee of the PH Resource Network, PHA’s membership network for allied health professionals, is working to create a resource guide to help medical professionals be effective advocates for their patients by crafting coverage request and appeals letters that contain the information insurance providers are looking for.
On this page, you’ll find links to template letters on a variety of subjects including coverage of sildenafil and epoprostenol. In addition, you’ll find some more general letters such as a template “return to work” letter for patients.
Template Letters
Request Insurer For In-Network Payment Letter
Short Term Disability letter or Return to Work Letter
Insurance Pre-authorization Request for Sildenafil Letter
Social Security Disability Letter
Sildenafil Template
