Upload your denial letter

Upload a PDF or take a photo with your phone. We'll read it automatically and fill in what we can — no typing needed.

First-level appeal — $39

Money-back guarantee if we can’t draft a viable appeal. Higher levels (second-level $59, external review $79, NSA-IDR $99) and a $99 all-levels bundle available at checkout. Hardship pricing available if cost is a barrier.

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Your denial letter

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Supporting documents (optional)

Upload any chart notes, lab results, imaging, or prior auth forms that support your case. Up to 5 files. We'll cite them in your appeal.

These patient-reported scores reviewers expect for this condition

Validated, numerically-scored instruments are the most reviewer-credible single piece of evidence in many denials. Adding any of these to the supporting documents (or noting the score in “additional information”) materially strengthens the appeal. Provide the score with the date taken; if your treating clinician hasn't administered one, most are 1-2 minute paper-and-pen forms they can fill at the next visit.

ECOG — Performance status, 0-5

Threshold: 0-1 favors aggressive therapy; ≥2 may shift treatment goals; specific therapy labels require ECOG ≤2

Universal oncology — required on most NCCN treatment lines

Karnofsky Performance Status (KPS) — Performance, 0-100

Threshold: ≥70 generally required for aggressive systemic therapy

Universal oncology