| Claim denied for Primary EOB or Explanation of Benefits | |
| 1 | May I know the Claim received date |
| 2 | May I know the claim denied date |
| 3 | May I know the Primary insurance Name, id#, Contact#( in application if primary ins not found) else |
| 4 | May I know the appeal limit and appeal address |
| 5 | May I know the fax# and whose attention claim should be faxed |
| 6 | May I know the claim# |
| 7 | May I know the call ref# |
