Generate a medical bill appeal for invoice {bill-number} from {provider-name}. Date of service was {service-date}. Total billed amount is ${billed-amount}, disputed amount is ${disputed-amount}. Insurance policy number is {insurance-policy}. Reason for dispute is {dispute-reason}. EOB reference is {eob-number}. CPT codes in question are {cpt-codes}. Network status was {network-status}. Prior authorization number is {auth-number}. Supporting documentation includes {documentation-list}. Previous appeals include {prior-appeals}. Medical necessity is supported by {medical-evidence}. Include {billing-errors} and {insurance-verification}. Reference {relevant-insurance-terms}. Patient diagnosis codes are {diagnosis-codes}.
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