You can now generate Notice of Action and Pend letters for rides, GMR, and travel-related expenses directly from the All Trips table. Choose from 14 letter types or write a Custom one, and member and trip details fill in automatically. Download your letters as a zip, ready to print and mail, with every letter saved to the member's Documents for audits, appeals, and grievances.
Watch the screen recording below for the full flow, then use these steps as a quick reference.

|
LETTER TYPE |
OUTCOME |
AVAILABLE FOR |
|
A1 – Ancillary Denial (meals/lodging) |
Deny |
Ancillary |
|
A2 – Modify Ancillary |
Modify Approve |
Ancillary |
|
D1 – Days Notice (5-day rule) |
Deny |
All trip types |
|
D2 – Has Transportation |
Deny |
All trip types |
|
D3 – No Appointment |
Deny |
All trip types |
|
D4 – Non-Covered Service |
Deny |
All trip types |
|
D7 – No Transportation (no provider found) |
Deny |
Scheduled |
|
D8 – Does Not Meet Requirements |
Deny |
All trip types |
|
D9 – Non-Covered Provider |
Deny |
All trip types |
|
D10 – Not Closest Provider |
Deny |
All trip types |
|
D11 – Other Health Coverage |
Deny |
All trip types |
|
D12 – Driver Credentials / Appt Verification |
Deny |
GMR |
|
D13 – TRE Lodging (no itemized receipt) |
Deny |
Ancillary |
|
Pend – Missing Documents |
Pend |
GMR and Ancillary |
|
Custom |
Deny |
All trip types |
A2 and Custom letters let you explain the decision in your own words while the rest of the letter stays in your approved format. Pick the letter type, fill in the fields, preview the letter, then click Generate.
|
LETTER |
FIELD |
CHARACTER LIMIT |
|
A2 – Modify Ancillary |
What was requested |
150 |
|
A2 – Modify Ancillary |
Reason it wasn't approved |
300 |
|
A2 – Modify Ancillary |
What was approved instead |
150 |
|
Custom |
What was denied |
120 |
|
Custom |
Reason for the decision |
600 |
|
Custom |
Policy (MPTP2501 or MPTP2503) |
Dropdown |
Every letter you generate is saved automatically, even if you don't download the zip.
Questions or Support
If you have any questions about these new features or need help getting started, please reach out to your Customer Success Manager or contact our support team at support@kinetik.care.
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