How To Write A Medicare Appeal Letter? 
The most common approachto file an appeal to a Medicare claimis to complete a `` redetermination request form , '' and send it to theMedicare contractor at the address listed on your Medicare Summary Notice . You should circle the items your would like appealed , explain in writing -LRB- with as much detail as possible -RRB- why you disagree with the original determination , and include as much information as possible to back up your case . An appeal will always have a much higher likelihood of succeeding if your doctor or other health care provider also supplies a written statement backing your position . 