Billing Dispute Templates
Professional letter templates to help you dispute billing errors and insurance denials
These templates are for guidance only. Modify them to fit your specific situation and consult with a healthcare advocate if needed.
General Billing Error Dispute
Standard template for disputing general billing errors
10-15 minutesDOCX
When to use:
Use when you notice incorrect charges, duplicate billing, or other general errors
Insurance Coverage Denial Dispute
Template for appealing insurance coverage denials
20-25 minutesDOCX
When to use:
Use when your insurance company has denied coverage for a service you believe should be covered
Duplicate Charge Dispute
Template for disputing duplicate charges on medical bills
10-15 minutesDOCX
When to use:
Use when you have been billed multiple times for the same service
Out-of-Network Billing Dispute
Template for disputing surprise out-of-network charges
25-30 minutesDOCX
When to use:
Use when you receive unexpected out-of-network charges at an in-network facility
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Learn More About Your Rights
Understanding billing dispute processes