Requesting a Review of a Denied Claim
Added 2026-10
Requesting a Review of a Denied Claim — Chinese original prompt
我的 [险种] 理赔被拒，理由是 [拒赔通知原文]，保单相关条款是 [条款原文]。请把复核申请写成四段：①事实，出险经过、时间、就诊或损失记录；②争议焦点，对方依据哪一条，我认为该条应如何理解，引用原文；③补充证据清单，每项说明能证明什么；④诉求与回复时限。按公文语气写，不情绪化。仅作参考，需专业复核。
Site original
Chinese original
Example
Sample input
住院医疗险的理赔被拒，保险公司说是既往症，帮我写一份复核申请
The output should include
- 四段分别写清事实与争议焦点
- 引用条款原文并说明我的理解
- 注明仅作参考，需专业复核
Replace these placeholders 3
Swap the bracketed parts for your own details before sending.
[险种][拒赔通知原文][条款原文]
How to use
拒赔通知一定要书面索取，只有口头拒赔就没法进入复核。
Try tweaking it
- Ask for a checklist and timeline, marking which parts need a professional.
- Replace "what should I do" with "which three things first, and when".
What you should get
- An ordered action list with deadlines
- What must be confirmed with a professional or official channel
Common mistakes
- Using it as the doctor or lawyer and acting on the answer directly.
- Taking a single conclusion without asking about preconditions or real costs.
How to check the output
- It gives an order of steps and a decision deadline.
- It flags what must be confirmed with a doctor, lawyer or official channel.
Where it works
- Good for: turning everyday decisions into checklists and timelines, flagging what needs a professional.
- Watch out: health, insurance and legal output is reference only — confirm with a doctor, broker or lawyer.