Dorian Mayhew Rothschild 60 Arthur St.

San Rafael, CA 94901 April 23, 2012 Rob Mackabee AARP Insurance Company, Inc 440 Montgomery St. San Francisco, CA 94103 RE: Policy Number: 123456789 Claim Number: 132453 Dear Rob Mackabee: I am writing you with respect to the following claim: Patient: Claim number: Provider: Date of service: Rothschild Properties Inc 132453 Dr. Johan T. Muller June 15, 2011

On April 02, 2012, I received notice that this claim was denied. This claim should not have been denied. The services were medically necessary. I have asked Dr. Johan T. Muller to send you a letter explaining that the services were medically necessary. Please reconsider the denial of the claim and provide an appropriate explanation. I have enclosed documentation in support of this claim. Please contact me at the above address if you have any questions or need additional information. I can be contacted by phone at 4153341234 or 4158894867. My e-mail address is d_rothschild@ffa.org. Thank you for your attention to this matter. Sincerely,

Rothschild Properties Inc

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Rothschild Properties Inc 60 Arthur St. San Rafael, CA 94901 April 23, 2012 Dr. Johan T. Muller 35 Palm Circle Dr. Corte Madera, CA 95422

RE: Medical Claim Denial Dear Dr. Johan T. Muller: On April 02, 2012, I was notified that AARP Insurance Company, Inc has denied the following claim on the grounds that the services were not medically necessary. Claim number: Patient name: Provider name: Date of service: 132453 Rothschild Properties Inc Dr. Johan T. Muller June 15, 2011

I am writing to request that you write a letter to AARP Insurance Company, Inc, explaining that the services were medically necessary and that coverage should be provided. Please send me a copy of the letter. I have enclosed the explanation of benefits regarding this claim. Please contact me at the above address if you have any questions or need additional information. I can be contacted by phone at 4153341234 or 4158894867. My e-mail address is d_rothschild@ffa.org. Thank you for your attention to this matter. Sincerely,

Rothschild Properties Inc

This is a RocketLawyer.com Legal Document