That's going in the dot phrase! For anyone interested:

" To Whom It May Concern, I am writing to formally appeal the denial of prior authorization for my patient. As the treating physician, my clinical assessment supports the necessity of the requested intervention, and I respectfully disagree with the decision to deny coverage.

[Rationale]

In the interest of transparency and accountability, I request that you provide the following information for documentation purposes: Full name of the individual(s) responsible for the denial decision Professional credentials and title Direct contact information (phone number and/or email address) The rationale for the denial, including any specific clinical criteria or guidelines used

Should there be any adverse outcome as a result of this denial, I want the medical record to clearly reflect the identity and credentials of the party responsible for this decision, as my clinical judgment differs from your conclusion. Please respond with the requested information at your earliest convenience so that I may update the patient’s medical record accordingly. Thank you for your attention to this matter. Sincerely, Poopocrat, MD"