Appeal Letter Fax Guide
How to Fax a Healthcare Appeal Cover Letter (Without PHI)
You can fax an appeal cover letter that explains your situation without including detailed medical records or PHI.
When appealing a healthcare decision, you may be asked to submit a written explanation or cover letter. Often, this can be sent by fax. The cover letter can describe your situation in general terms while keeping medical details and PHI in separate, secure channels.
This guide explains how to fax the cover letter portion of an appeal without including diagnoses, treatment notes, or detailed medical records.
Fax an appeal cover letter
Use the on-page form to send a general explanation letter only.
01
Check Your Health Plan’s Appeal Instructions
Review your plan’s appeal letter to confirm where written explanations should be sent and whether fax is allowed for the cover letter.
02
Write a General Explanation Without PHI
Describe dates, decision types, and general reasons for appeal without listing diagnoses, procedure codes, or detailed clinical history. Use the plan’s secure portal or official medical record channels for PHI.
03
Fax Your Appeal Cover Letter Online
Save your appeal cover letter as a PDF, upload it using the secure form on this page, and fax it to the appeals address or fax number provided by your plan.
Related Resources
Send a Healthcare Appeal Cover Letter by Fax
Fax a non-PHI appeal explanation using the on-page form.
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