Request
Fill in the 60-second form and upload your denial letter. It goes straight to our team.
Send us your denial letter. Get a free expert assessment in 24 hours. Decide what to do next.
Get my free assessmentThe notice from your insurer stating why coverage was denied.
Include your EOB only if you have already received a bill.
No forms or medical records for the free assessment.
No upfront cost, no retainer, no hourly billing. If the appeal doesn't work, you owe nothing — in writing before we start.
Fewer than 1% of denied claims are ever appealed — yet roughly half of appeals succeed. The system counts on you giving up.
Within 24 hours you get a real plan: the denial analysis, the strongest angle, the deadline. Use it yourself or let us run it.
About 60 seconds to start. No intake maze.
Fill in the 60-second form and upload your denial letter. It goes straight to our team.
Get your personalized assessment within 24 hours.
Use the roadmap yourself or ask us to run the appeal.
Four answers. Delivered free within 24 hours.
What the insurer’s reason means—and what it leaves open.
A candid view of the strongest path and the gaps.
The evidence, records, and escalation route to use.
The date that matters and what must happen before it.
Get the record right before the stakes get higher.
Winning arguments connect clinical evidence to the insurer’s exact criteria.
Missed steps can narrow your escalation options.
A weak first appeal becomes part of the record and is harder to unwind.
Care can stay blocked or a large balance can remain unpaid.
The essentials, without the fine-print maze.
Your insurer’s denial letter. Add the EOB only if you have already been billed. No Social Security number is needed.
Use the roadmap yourself or ask us to run the appeal. There is no obligation to continue.
We assess the approval path and identify the evidence needed to challenge the denial.
We currently focus on consequential commercial-insurance denials blocking care or leaving a large balance.
No. We manage insurance appeals as an authorized representative; we do not provide legal or medical advice.
No. Outcomes cannot be guaranteed; the assessment shows the evidence, gaps, and credible path.
A denial isn't a verdict — roughly half of appealed denials get overturned, yet fewer than 1% are ever appealed. Here's the process.
Find the specific reason — "not medically necessary," "experimental," "prior auth required" — plus the policy clause cited and your appeal deadline. The reason is the battlefield: an appeal that doesn't rebut it almost never works.
Request the full policy or clinical guideline your insurer cited — they must provide it. Many denials collapse once you read the real criteria, because the denial misapplied them.
"Not medically necessary" needs a letter of medical necessity mapping your case to the policy's own criteria, point by point. "Experimental" needs FDA approvals, clinical guidelines, and peer-reviewed evidence. A vague doctor's note ("patient needs this") is the most common reason appeals fail.
Submit before the deadline with a cover letter rebutting the reason, the physician's letter, clinical notes, and the denial letter. Keep copies and proof of delivery. Your first appeal creates the record everything later depends on — a weak one narrows every later option.
Fully insured plans generally qualify for independent external review — a third-party reviewer whose decision the insurer must honor, at no cost to you. (Employer self-funded ERISA plans usually don't; that's a different path.)
Internal appeals are commonly 180 days but vary by plan; external review requests often have their own window. A missed deadline usually ends the appeal.
Fill this in — your email app opens with everything pre-filled. Attach your denial letter and send.