Image 1 of 1
Image 1 of 1
Image 1 of 1
Image 1 of 1
A professional, template for requesting a reimbursement rate increase from insurance companies.
This draft letter is designed to help clinicians:
initiate a fee schedule review in a clear, respectful manner
frame reimbursement concerns around sustainability and access to care
communicate value without adversarial or fear-based language
avoid common missteps that can stall or derail negotiations
The template is written to align with typical payer expectations and can be easily customized based on:
payer type (commercial or Medicaid)
length of time in network
services provided or populations served
This resource is intended as a starting point, not a guarantee of approval. Reimbursement decisions ultimately rest with each insurer, but a thoughtful, well-structured request improves the likelihood of a meaningful response. However, this letter has successfully resulted in increases in the past.
This letter can be re-used as many times as you need.
A professional, template for requesting a reimbursement rate increase from insurance companies.
This draft letter is designed to help clinicians:
initiate a fee schedule review in a clear, respectful manner
frame reimbursement concerns around sustainability and access to care
communicate value without adversarial or fear-based language
avoid common missteps that can stall or derail negotiations
The template is written to align with typical payer expectations and can be easily customized based on:
payer type (commercial or Medicaid)
length of time in network
services provided or populations served
This resource is intended as a starting point, not a guarantee of approval. Reimbursement decisions ultimately rest with each insurer, but a thoughtful, well-structured request improves the likelihood of a meaningful response. However, this letter has successfully resulted in increases in the past.
This letter can be re-used as many times as you need.