For clinicians and practices
Appeal letters drafted in 5 minutes — your patient's name, your physician's signature.
The appeal-letter writing burden falls on the practice, not the patient. We don't make that work disappear — but we cut the drafting from an hour to five minutes. You upload the denial, we generate a 1.5–2 page medical-necessity letter that cites the right federal appeal reg, the insurer's own coverage criteria, and the relevant specialty-society guideline. You read it, edit if needed, sign it.
Start your Pro account →Where the time goes
- Manual draft — typically 45–90 minutes per appeal: pulling the denial-letter facts, finding the relevant guideline citation, writing the medical-necessity argument, formatting for the insurer.
- Pro draft — typically 5 minutes: AI extracts patient + insurer + denial reason from the uploaded letter, fills in the medical-necessity sections from the patient's clinical context (which you provide), cites the recognised specialty-society guideline, and produces a physician-ready letter for your edit + sign.
- What we do not do — replace your clinical judgement, integrate with your EHR (yet), or claim the appeal will succeed. The letter is a tool, not a guarantee.
What's in the drafted letter
- Patient + plan facts extracted verbatim from the denial letter (member ID, claim #, date of service, prior-auth #, etc.).
- Federal appeal-rights citation — ACA §2719, ERISA §503, NSA §2799A, 42 CFR 422 Subpart M, or 42 CFR 438 Subpart F based on the patient's plan type.
- Insurer-specific coverage criteria — what the insurer's own policy says, point by point, with the appeal addressing each criterion.
- Authoritative clinical guideline citation — NCCN for oncology, ADA / AACE for endocrine, ACR for rheumatology, AHA / ACC for cardio, etc. The drafter picks the right body for the vertical and the case.
- Anti-fabrication safeguards — the model is constrained to use only patient facts you provided. Lab values, dates, prior-therapy durations, FDA approval dates, journal citations: every numeric fact in the letter must trace back to the source context. Mechanical post-process strips any that don't.
Pricing
Cancel anytime. Pricing is the same for every clinic regardless of how you found us.
DenialHelp drafts physician-ready appeal letters; the treating clinician is the decision-maker, signs the letter, and submits it. We do not provide medical or legal advice. We do not guarantee that any given appeal will be approved by the payer — outcomes depend on plan documents, the clinician's clinical narrative, and the insurer's decision. Pricing shown is in USD; subscriptions billed monthly via Stripe.