Mrs. Jane Doe Dear Mrs. Doe, I am writing to request reimbursement for my patient, Samuel Lake (parents - Daniel and Susan Lake). Samuel was born with a congenital birth defect called bladder exstrophy that affects his urinary continence and he requires diapers and other incontinence products to keep him dry. Chronic incontinence without adequate protection can lead to significant skin breakdown and the use of absorbent diapers/pads contains the urine loss and helps prevent skin problems. For this reason, the use of incontinence products/supplies is a medical necessity rather than for hygiene or convenience purposes. If you need any more information regarding this birth defect, please do not hesitate to contact me. Sincerely, Dr. B. Doe |