Claim Document Library

Rebuttals to Denials

Counter denials using policy citations, facts, and exhibits.

Appeals Policy cites Evidence

Overview

Purpose

  • Restate the denial reasons and the facts you contest.
  • Quote policy language that supports your position.
  • Propose resolution steps or requests for reconsideration.

Quality checklist

Ready-to-send

  • Address each denial point with targeted evidence.
  • Attach exhibits and reference them in the letter.
  • Request a specific response date and next steps.

What to include

Use these pieces to keep the rebuttals to denials packet complete.

Core documents

Build the file

  • Rebuttal letter with issue-by-issue structure.
  • Exhibit chart mapping denial items to proof.
  • Timeline showing compliance with policy conditions.

Supporting proof

Evidence to attach

  • Photos, reports, or invoices disproving the denial.
  • Prior correspondence and carrier positions.
  • Legal or regulatory references where applicable.

Delivery notes

Keep it moving

  • Send to the adjuster and a supervisor.
  • Log follow-up deadlines and escalation paths.
  • Prepare for mediation or complaint if no response.