please look at the instructions at the bottom

your office has send authorization requests to an insurance carrier called  Health First for your patients with Worker’s Comp cases in the last month. All ten request that were sent  a month ago have not received a response. you are writing a letter to your claims adjuster about the missing authorization that will also be getting sent to your supervisor  and the Worker’s comp board. you need to explain the general situation and the urgency of the authorizations ( one is for a patient that requires a lung transplant) you are asking them to send the necessary authorizations and how best to contact you if they need further information (i.e. patient files or insurance information).