Sample Output

This is what a submission-ready
appeal packet looks like

ResolveRCM generates professional appeal letters with clinical rationale, payer-specific responses, and documentation checklists. All from a simple form—no EHR integration required.

Each packet includes everything billing teams typically gather manually before submission.

FORMAL APPEAL REQUEST

To: BCBS Medical Review

Re: Reconsideration/Appeal for CPT 63030-LT on [DOS]

Patient: [PATIENT_NAME] (no PHI)

Rendering Specialty: Pain Management

Treating Provider: [PROVIDER_NAME]

Member ID/Claim #: [CLAIM_NUMBER]

Dear Medical Review Committee,

We are writing to formally appeal the denial of CPT 63030-LT for the above-referenced patient. The procedure was performed on [DOS] and was medically necessary based on the following clinical rationale...

MEDICAL DECISION MAKING SUMMARY

Problem Complexity

High - Multiple chronic conditions with acute exacerbation requiring surgical intervention

Data Reviewed

MRI imaging, prior conservative treatment records, specialist consultations, medication history

Risk Assessment

High risk - Surgical procedure with anesthesia, potential complications including infection, nerve damage

MDM Level

High Complexity (99215 equivalent)

SHORT NECESSITY STATEMENT

1

Patient presented with severe lumbar radiculopathy unresponsive to 6+ months of conservative treatment including physical therapy, NSAIDs, and epidural injections.

2

MRI confirmed L4-L5 disc herniation with nerve root compression correlating to clinical symptoms.

3

Surgical intervention was the only remaining option to prevent permanent nerve damage and restore function.

CODING VALIDATION NOTES

Primary CPT

63030-LT - Lumbar laminotomy, single level

Modifier -LT indicates left side procedure

Supporting ICD-10 Codes

M51.16 Lumbar disc degeneration with radiculopathy
M54.5 Low back pain
G89.29 Other chronic pain

APPEAL STRENGTH ASSESSMENT

Overall Strength Score 87/100
Documentation completeness Strong
Medical necessity support Strong
Coding accuracy Strong
Payer-specific alignment Moderate

Internal Case Summary

The patient presents with chronic lumbar disc disease with radiculopathy and thoracic spondylosis, requiring moderate-complexity E/M management. The payer denied CPT 99214 citing insufficient documentation, but the clinical record supports the code based on multiple chronic conditions, imaging review, and prescription drug management including opioid therapy monitoring.

Sample content with redacted patient information. All data shown is fictional.

What's Included

  • Appeal/Reconsideration Letter
  • Short Necessity Statement
  • MDM Sheet
  • Documentation Summary
  • Strength Assessment
  • Coding Validation Notes
  • Attachments Checklist
  • Payer-Specific Considerations

Download Your Appeal Package

Word Document

Editable .docx file

Single PDF

All sections in one file

Separate PDFs

Each section as its own file

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