Frequently asked questions
Can't find what you're looking for? Email hello@denialhelp.com.
How much does an appeal cost?+
First-level appeals are $39. Second-level appeals are $59. External / NSA-IDR escalations are $99. If we can't draft a strong appeal for your case (rare — your denial isn't appealable, e.g. plan exclusion), you don't pay.
Will my doctor sign and send the letter?+
The letter is drafted in your prescriber's voice with the clinical evidence cited correctly. You forward it to their office for review and signature. Most prescribers sign letters drafted to a clinical standard within 1-3 business days.
Is my information safe?+
Yes. We are a HIPAA-aligned business associate. Your protected health information is encrypted at rest using SQLCipher (AES-256), every PHI access is audit-logged for 6 years, and we have BAAs with our processing vendors. See our security page for the full disclosure.
What treatments do you cover?+
GLP-1s (Wegovy, Ozempic, Zepbound, Mounjaro), biologics (Humira, Stelara, Skyrizi, Dupixent), fertility (IVF, IUI, embryo storage), mental health (TMS, Spravato, ketamine, intensive outpatient), specialty drugs, prior authorizations, and many others. If you don't see your treatment, start the intake — we'll route it.
Which insurers do you handle?+
All US commercial and Marketplace plans: UnitedHealthcare, Aetna, Cigna, Anthem/BCBS, Humana, Kaiser, Centene/Ambetter, Molina, Oscar, and others. We also handle ERISA self-funded plans and Medicare Advantage. Medicaid handling varies by state.
How long does it take?+
From upload to download is usually under 5 minutes. The clock that matters is the appeal-deadline clock — most plans give you 180 days to file an internal appeal, sometimes less. Start as soon as you have the denial letter.
What's the difference between first-level, second-level, and external review?+
First-level (internal) is the appeal you file directly with the plan. Second-level (also internal) is the next escalation, usually with a different reviewer. External review is binding review by an Independent Review Organization (IRO) outside the insurer — required by the ACA for medical-necessity denials. We draft all three.
Do you guarantee approval?+
No legitimate service can guarantee an insurance approval — outcomes depend on your plan, your clinical evidence, and the reviewer. We do guarantee a strong, appealable letter or your money back. Industry data suggests 40-60% of properly-argued appeals win.
Can prescribers / clinics use DenialHelp?+
Yes — DenialHelpPro is a per-prescriber and per-practice tier built for clinical workflow. See /for-clinicians for details.