The medical bills and records I provided to your company accurately demonstrate the extent of my medical expenses. I wish to file an appeal concerning.The letter should be addressed to the name of the appeals analyst referenced in the denial letter. It should be sent certified mail, return receipt requested. All settlements closing out the defendants' responsibility for medical treatment must reflect in the Petition that Medicare's interests have been considered. Discover how to reject a low initial offer for a personal injury settlement and learn how to better negotiate a fair offer with the insurance company. Include details about all of your injuries. You have the right to reject the insurance company's offer to settle your premises liability claim. Learn your options after you say no to their offer. This article provides a template for a debt settlement proposal letter and explains what a debt settlement letter should contain.