How to Appeal an Insurance Claim

Get an insurance appeal letter

Did your insurance company deny coverage for Cologuard? We can help you customize an appeal letter.

All you have to do is answer a few questions to create a customized appeal letter PDF to download and send to your insurance company.

IMPORTANT: Please be sure to read the directions carefully after your file is generated. You may be required to submit additional documents.

Are you part of a Medicare Advantage health plan? What does this mean?

A Medicare Advantage plan, also called Medicare Part C, is a Medicare plan sold by a private insurance company.

Yes No

You should not have received a bill, please call Exact Sciences at 1-844-870-8870.

Did your insurer charge you co-insurance, deductible, or a co-pay for your Cologuard test?

Yes No

What state do you live in?

Is your health plan self-insured? What does this mean?

If your employer pays claims instead of an insurance company, your plan is self-insured. Contact the employee benefits administrator in your employer’s human resources department to find out.

Yes No I don't know

What reason did your insurance company give for denying your claim?

Insurance company details

Where do I find this information?

*All fields are required.

Insurance company name

Insurance company address

Insurance company state

Insurance company city

Insurance company zip

Patient details

*All fields are required

First name

Last name

Member ID

Date of service (mm/dd/yyyy)

Address

City

State

Zip

Phone

appeal a claim

Get an insurance appeal letter

Insurance company details

Patient details