Steph - my name is Sherri Foster and I have been writing quit a bit of appeal letters lately. I am happy to share - after my daughter Rachel went through 10 lasers and other procedures, with all the appeals - I ended up being somewhat of an expert myself - if there is any such thing. The one thing I learned - you must grab ahold and hang on. Don't give up. I am happy to share what I have learned if you like you can e-mail me firstname.lastname@example.org
Best of luck to you and don't give up.