Medical Insurance Claim Complaint Letter – Sample Application for Insurance Claim Complaint

The ________ (Customer Support Officer/ Concerned Authority),
________________ (Insurance Company Name),
________________ (Address)

Date: __/__/____ (Date)

Subject: Complaint regarding claim approval

Respected Sir/Madam,

My name is __________ (Name) and I hold a policy of your company having the policy number _________ (Policy Number). The name of the policy is ________________ (Policy Name – If any) and I reside at______________ (Address).

I am writing this letter to complain about _______________ (Non-Payment/ Delayed Payment/ Less Payment/ Mention your complaint) for Reference ID: _________________ (Reference ID). I on __________ (Date) applied for a claim of a total amount of Rs. __________ (Amount) for the patient with the details mentioned below.

The following are the details of the patient:
Name: _______________
Gender: _______________
Address: _______________

The patient was hospitalized in ____________ (Hospital Name), in ___________ (Room type) due to the reason _______________ (Reason Of Hospitalization).

I am also enclosing the ____________ (Copy of bill/ ID Proof/ Application Form/ Address Proof/ Form duly filled and attested by hospital/Any other document Required).

I shall be thankful and obliged if you look into this matter and take some action as early as possible.

Thanking you,
______________ (Signature)
______________ (Name),
______________ (Contact Number)

Incoming Search Terms:

    • sample letter to the health insurance company complaining about claim approval
    • complaint letter for medical insurance claim approval format
    • how to write a complaint letter regarding insurance

Authorization LettersBank LettersInformal Letters
Resignation LetterInformal Letter FormatHow to Write
Cover Letter SampleRecommendation LetterRequest Letter Templates © 2023 Protection Status Privacy Policy  |   Disclaimer  |   Terms of Use