Letter of Medical Necessity Generator
Strong Justification In Less Time
Stop rewriting letters from scratch for every request. Twofold’s letter of medical necessity generator turns your notes and treatment plans into structured, insurer ready letters that protect your time and your patients access to care.
No credit card required
THE SOLUTION
Write letters that insurers can understand and approve
Twofold helps you generate letters of medical necessity that connect diagnosis, symptoms, function, and proposed treatment so reviewers see exactly why care is required.
Clear Statement Of Diagnosis And Symptoms
Functional Impact And Risk Description
Summary Of Prior Treatment Attempts
Requested Service And Rationale
Support For Duration And Frequency
Payer Friendly Structure
HIPAA Compliant Letter Generator
Copy Ready For Portals And Faxes
FROM 3 HOURS TO 5 MINUTES
Manual vs. AI-Powered
Letters of medical necessity
Without Twofold
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Staring at a blank screen before every prior authorization or appeal ✕
Letters that feel too short for reviewers or too long for your schedule ✕
Difficulty showing the link between diagnosis, function, and requested care ✕
Frustration when denials cite documentation that is not detailed enough With Twofold Letter of Medical Necessity Generator
✓
Well structured drafts built from your existing notes ✓
Consistent language that highlights risk and impairment ✓
Clear explanation of why the requested service is necessary now ✓
More confidence when responding to denials and appeals Built for busy clinicians who advocate for their patients
Twofold supports mental health providers, primary care, specialists, and rehab clinicians who need to justify care without losing hours to paperwork.
Clinics and multidisciplinary practices
Standardize letter quality across clinicians so insurers receive consistent, high quality justification from your organization.
Independent clinicians
Protect your limited administrative time while still writing strong letters that support your patients access to care.
Telehealth and hybrid practices
Generate letters from laptop or phone using details from virtual encounters and digital charts.
Specialty and high acuity services
Explain complex care such as trauma treatment, long term rehab, or specialized diagnostics in clear, organized language.Clinicians use Twofold to write stronger letters with less effort
Appeals that used to take me an hour now take ten minutes, and my approval rate has gone up.
Dr. Nina K.
Psychiatrist, Outpatient Clinic
Twofold helps me show function and risk clearly. Payers see exactly why ongoing therapy is needed.
Alex, LCSW
Therapist, Group Practice
My letters for testing and higher levels of care are more organized and less exhausting to write.
Jordan, PsyD
Clinical Psychologist
I can advocate for my patients without sacrificing my evenings to paperwork.
Maria, NP
Primary Care Nurse Practitioner
Appeals that used to take me an hour now take ten minutes, and my approval rate has gone up.
Dr. Nina K.
Psychiatrist, Outpatient Clinic
Twofold helps me show function and risk clearly. Payers see exactly why ongoing therapy is needed.
Alex, LCSW
Therapist, Group Practice
My letters for testing and higher levels of care are more organized and less exhausting to write.
Jordan, PsyD
Clinical Psychologist
I can advocate for my patients without sacrificing my evenings to paperwork.
Maria, NP
Primary Care Nurse Practitioner
Appeals that used to take me an hour now take ten minutes, and my approval rate has gone up.
Dr. Nina K.
Psychiatrist, Outpatient Clinic
Twofold helps me show function and risk clearly. Payers see exactly why ongoing therapy is needed.
Alex, LCSW
Therapist, Group Practice
My letters for testing and higher levels of care are more organized and less exhausting to write.
Jordan, PsyD
Clinical Psychologist
I can advocate for my patients without sacrificing my evenings to paperwork.
Maria, NP
Primary Care Nurse Practitioner
Appeals that used to take me an hour now take ten minutes, and my approval rate has gone up.
Dr. Nina K.
Psychiatrist, Outpatient Clinic
Twofold helps me show function and risk clearly. Payers see exactly why ongoing therapy is needed.
Alex, LCSW
Therapist, Group Practice
My letters for testing and higher levels of care are more organized and less exhausting to write.
Jordan, PsyD
Clinical Psychologist
Reduce burnout,
improve patient care.
Focus on the patient, not the paperwork. Join thousands of clinicians already
using AI to become more
efficient.
Resources for letters of medical necessity and payer documentation
Use these guides and templates to strengthen letters of medical necessity and supporting documentation for payers and audits.Documentation quality and payer readiness
4 articles
AI and safe clinical documentation
4 articles
Insurance and billing support
4 articles
Templates that support medical necessity documentation
4 articles
FAQs
A letter of medical necessity generator is a tool that helps clinicians turn chart information into structured letters that explain why a specific treatment, service, or item is medically necessary for a patient.
You can use Twofold to generate letters for psychotherapy, higher levels of care, medications, diagnostic tests, durable medical equipment, rehabilitation, and other services that require payer approval.
Yes. Twofold produces a draft based on your notes and instructions, and you edit it so the final letter reflects your reasoning, ethics, and professional voice.
Twofold is fully HIPAA compliant, encrypts PHI in transit and at rest, and includes a signed BAA so you can safely include clinical detail and history.
You can keep preferred wording and structures while generating new letters that are specific to each patient, diagnosis, and requested service.
Company
Our technology is HIPAA-compliant, uses industry best practices, and doesn't store patient recordings.
