Does this replace a formal insurance appeal?

It is the formal appeal. The letter is structured to meet most insurer and hospital appeal requirements, including the basis for your dispute.

Do I need an account to start?

No. You can fill out the form and generate a draft for free. You only pay when you want to unlock and download the final letter.

How much does it cost?

Downloading a letter is a flat $2 — any dispute type. Want it sent for you? $8 covers printing and USPS Certified Mail with tracking. Subscription plans are also available if you expect to send several letters.

Will this letter actually work?

A well-written, specific letter — citing the right rules and a clear desired outcome — dramatically increases your odds. We can't guarantee any particular result, but a real letter beats silence every time.

Health

Medical Bill Appeal

Fight a denied health insurance claim or surprise bill.

Answer a few plain-English questions and we'll generate a professional letter addressed to your insurance company — citing the right rules, in the right tone, ready to send. No account needed to start.

Triggers ERISA / state appeal deadlines
Forces a written determination on the record

STEP 1

Answer questions

A short guided form — about 3 minutes.

STEP 2

Create free account

Your first letter is on us — no credit card.

STEP 3

Download & send

PDF or DOCX, formatted and ready to mail.

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Health

Medical Bill Appeal

Question 1 of 911%

Who are you fighting?*

The person, company, or agency this letter is addressed to.

✓ Triggers ERISA / state appeal deadlines

256-bit Encryption
Bank-Level Privacy
No Monthly Subscription

Live preview — updates as you type

[date]

[recipient name]
[recipient address]

Re: Formal Appeal of Claim #[claim number] — Amount in Dispute: $[amount disputed]

Dear Appeals Department:

I am writing to formally appeal your denial of the above-referenced claim. The stated reason for denial — "[denial reason]" — is inconsistent with my policy and the medical record.

Facts:
[facts]

Requested resolution:
[desired outcome]

Please treat this letter as a formal first-level appeal under my plan's appeal procedures and applicable state and federal law (including ERISA where applicable). I request a written determination within the statutory timeframe.

Sincerely,

[user full name]
[user address]

This is your live draft. When you finish the questions, our AI rewrites it into a polished, statute-cited letter — then you create a free account to save and download it.Your first letter is free. No credit card.

Frequently asked

Does this replace a formal insurance appeal?: It is the formal appeal. The letter is structured to meet most insurer and hospital appeal requirements, including the basis for your dispute.
Do I need an account to start?: No. You can fill out the form and generate a draft for free. You only pay when you want to unlock and download the final letter.
How much does it cost?: Downloading a letter is a flat $2 — any dispute type. Want it sent for you? $8 covers printing and USPS Certified Mail with tracking. Subscription plans are also available if you expect to send several letters.
Will this letter actually work?: A well-written, specific letter — citing the right rules and a clear desired outcome — dramatically increases your odds. We can't guarantee any particular result, but a real letter beats silence every time.

Make your case stronger

Optional add-ons if your letter is ignored.

Follow-Up Letter$2

Second-round letter when your first demand is ignored.

Evidence Toolkit$3

Timeline builder, expense log, and exhibit checklist.

Full Fight Bundle$25

6 letters + 30-day pressure campaign: demand, follow-up, final notice, BBB complaint, AG complaint, and cease & desist.

Escalation Pack$5

Attorney Review$65

A licensed attorney reviews your demand letter and provides feedback within 48 hours.

Court Filing Kit$50

Pre-filled court forms, complaint template, evidence worksheet, and step-by-step filing instructions for your state.

Browse all dispute templates

Dispute Engine is not a law firm and does not provide legal advice. Documents are for informational and self-help purposes only. This does not create an attorney-client relationship. For legal advice specific to your situation, consult a licensed attorney in your jurisdiction.