MARCUS A. EAST, M.D.
JOHN G. DODD, D.O.
RYAN W. LAPOUR, M.D.
ADAM T. SHUPE, O.D.
CLAIM APPEALS LETTER
What insurance would you like to use?
AARP Medicare Complete through United Healthcare - Atlanta
AARP Medicare Complete through United Healthcare - PO Box 31362 Salt Lake City, UT 84131-0362
AARP Medicare Complete through United Healthcare - PO Box 30974 Salt Lake City, UT 84130-0974
AARP Medicare Supplemental/Fixed Indemnity by UHC
Ameritas
Atrio Health Plans
Blue Cross and Blue Shield of Oregon / Regence - Salt Lake City
Blue Cross and Blue Shield of Oregon / Regence - Seattle
Blue Cross and Blue Shield of Oregon / Regence - Los Angeles
Cigna Health Plan
Health Net Medicare Claims
Health Net Commercial Claims
Health Net Medi-Cal
Healthnet Federal Services- CO PGBALLC Tricare
Healthnet Federal Services- Tricare West Region
Kaiser Permanente Added Choice
Medicaid of Oregon - Salem
Medicaid of Oregon - Fargo
Medicaid of Oregon - UJB
Medicaid of Oregon - RET
Nordian JD DME
Providence Health Plan
United HealthCare of All States - Atlanta
United HealthCare of All States - Salt Lake City
Willamette Valley Community Health Plan
Attn:
Dear
We are appealing your decision and request reconsideration of the attached claim that you denied on
We feel these charges should be allowed for the following reason(s):
Thank you for reviewing and reversing this claim denial. If you require any additional information, please
contact
Sincerely,
BOARD-CERTIFIED OPHTHALMOLOGIST EYE PHYSICIAN & SURGEON
BOARD-CERTIFIED OPTOMETRIST
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