Template Letters

Payment

Bundling: Same-day Acute and Preventive Services (Members Only) -- Do you have a payer who won't reimburse for same-day acute and preventive E/M services? Download this letter, personalize it and send it to your payer.
(4-page Word file; About Downloading)

Immunizations (Members Only) -- Do you have a private payer who is not providing coverage and adequate payment for immunizations and their administration? Download this letter, personalize it and send it to the payer.
(2-page Word file; About Downloading)

Bundling: Urinalysis and E/M Services (Members Only) -- Do you work with a payer that bundles in-office urinalysis as "incidental to" an office visit? This letter helps you advocate for separate payment of urinalysis and E/M services. Download it, personalize it and send it to your payer.
(2-page Word file; About Downloading)

Group Visits (Members Only) -- Are you wanting to be paid for group visits? Download this letter, personalize it and send it to your payer.
(2-page Word file; About Downloading)

Use Current Relative Value Units (Members Only) -- Urge your payers to adopt the current resource-based relative value units (RVUs) and include an annual fee update at least equal to the Medicare Economic Index (MEI) in your physician fee schedule methodology. Download this letter, personalize it and send it to your payers.
(1-page Word file; About Downloading)

Payment Recovery Response (Members Only) -- Is one of your payers trying to recoup a previous overpayment? Download this letter, personalize it and send it to your payer.
(1-page Word file; About Downloading)

Antitrust

Insurance commissioner letter on antitrust (Members Only) -- Send a letter to state department of insurance commissioner raising concerns about health insurer consolidation.
(1-page Word file; About Downloading)

State legislator letter on antitrust (Members Only) -- Respond to a legislative activity relative to health insurer mergers and acquisitions.
(2-page Word file; About Downloading)

Physician Profiling

Profiling Response (Members Only) -- Has a payer questioned your coding, or have you been unfairly profiled? Send this letter as a response. Download it, personalize it and send it to your payer.
(1-page Word file; About Downloading)

Tiered and Select Networks (Members Only) -- Has a payer profiled and either included or excluded you from one of its networks? Send this letter as a response. Download it, personalize it and send it to your payer.
(1-page Word file; About Downloading)

Retail Health Clinics

Retail Clinic Co-payments (Members Only) -- Some payers are encouraging the use of retail clinics by reducing co-payment amounts for these visits. Tell payers not to incentivize patients to receive care away from their medical home. Download this letter, personalize it and send it to your payers.
(2-page Word file; About Downloading)

Family Medicine's Breadth of Services

Radiology/Imaging Management Programs (Members Only) -- Do you work with a payer that excludes family physicians from performing radiology and/or imaging services? Send this letter as a response. Download it, personalize it and send it to your payer.
(2-page Word file; About Downloading)

Family Medicine Directory Listings (Members Only) -- Ask your payers to recognize family physicians in their directories. Download this letter, personalize it and send it to your payers.
(2-page Word file; About Downloading)

Behavioral Health Payment (Members Only) -- Are you not being paid for providing behavioral or mental health services? Download this letter, personalize it and send it to your payer.
(1-page Word file; About Downloading)

Request Contact Information on Payer Web site (Members Only) -- Having trouble knowing who to contact at the health plan to address your question or issue? Download this letter, personalize it and send it to private payers and ask them to be transparent on who and how to contact their staff.
(1-page Word file; About Downloading)