appeal a 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.

Select the option that applies to you:

I was 45-49 years old on the day I took my test. I was 50+ on the day I took my test.

Pick the button below that best represents your claim status:

Denial Did your insurance deny in full/not make any payment? Cost Share Were you charged a deductible, co-pay, or coinsurance amount? Under Allow Did your insurance make a partial payment, but it wasn’t the entire test cost?

If you are unsure which letter to pick, please call us at 1-844-870-8870 for assistance.

Insurance company details

Where do I find this information?

*All fields are required.

Insurance company name

Insurance company appeals address (You can often find the insurance company appeals address on your Explanation of Benefits)

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

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