Simple, honest pricing.

If we can't draft a strong appeal, you don't pay — and we tell you why. Free pre-payment review on every case.

Pay per appeal

Patients & families

Free pre-payment review — if we can't draft a strong appeal, you don't pay
Insurer-specific clinical citations + medical-necessity arguments
Physician-ready format — your doctor reviews, signs, files
Money-back guarantee if we can't write your appeal
Full Spanish — intake and final letter both available in Spanish

✨ Auto-detected pricing

Upload your denial letter and we'll automatically determine the appeal level. Pricing matches the level we detect (you can override before payment if our detection is wrong).

First-level appeal$39

Second-level appeal$59

External review (state IRO)$79

NSA IDR submission$99

Escalation bundle$99

Covers all 4 appeal levels if needed — save up to $177 vs paying separately

How the bundle math works

First level $39 + Second level $59 + External review $79 + NSA-IDR $99 = $276 if you escalate to every stage. Bundle is $99 → you save $177 if you need them all, $138 if you stop after external review, $99 if you stop after second-level. Buy levels separately when you only need one.

Start an appeal→Can't afford it right now? Apply for our hardship program

Are you a clinician or practice?

ApprovalHelp is our product for clinicians — prior auth, denials, and appeals in one workflow, with monthly plans for individual providers and group practices.

See ApprovalHelp pricing→

Pricing questions

What if you can't write my appeal?+

Our free pre-payment review runs before checkout. If your case isn't a candidate for a strong appeal (e.g. plan explicitly excludes the treatment), we tell you why and what could change that — at no charge. If we charge you and then can't deliver a usable letter, you get a full refund.

Do I pay per letter or subscribe?+

Patients pay per letter. Independent doctors and group practices subscribe — it's much cheaper per appeal at any volume.

Is my appeal letter in English or Spanish?+

Both. Pick a language at intake. Letters are written natively in Spanish (not machine-translated) when you select Spanish.

What if my insurance denies the first appeal?+

We're one of the only services that goes beyond first-level. We can write second-level internal appeals, state external reviews (IRO), and No Surprises Act IDR submissions — at $59, $79, and $99 respectively, or $99 bundled.

Can I cancel my subscription anytime?+

Yes — cancel anytime, no questions, no fees. You keep access through the end of your billing period.

100% MONEY-BACK GUARANTEE

We don't charge if we can't write a strong appeal.

Free pre-payment review. If your case isn't a candidate for a strong appeal, you pay nothing — we tell you why and what could change that.