I feel it is likely that somehow the claim

October 6, 2011

Mary Smith

69 N. Grant Street, Mid Lake City,

California 84301

Cell 🙁 988) 598-1331



[Subject: Normally bold, summarizes the intention of the letter] -Optional-

Dear Mary Smith,

On Friday, January 6th, I had a routine teeth cleaning by my dentist of record, Dr. Sanbourne. When I left the office, the receptionist said they were filing the claim as usual.

Today, however, I received a call from Dr. Sanbourne’s office stating that my coverage had been denied and I owed them for the whole cost of the visit. Please check your records and tell me what the problem is. I know my payments are current and I received no services that were out of the ordinary. I have never paid anything for a routine cleaning and I am curious to why I would have to now.

I feel it is likely that somehow the claim was simply misfiled. I hope you can find the answer and remedy it quickly.



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