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Pricing built for the way clinical practices actually work

One simple per-prescriber tier covers most practices. For health systems that need unlimited usage and custom integration, talk to us.

Pro PA + Pro Appeals
$149/ prescriber / month

Self-serve. Cancel any time. No annual contract.

  • Unlimited appeal-letter drafts, evidence-cited and prescriber-ready
  • Pro PA Generator access for prior-auth letters when it ships post-launch
  • All 93+ specialties — endocrinology, oncology, rheumatology, cardiology, GI, dermatology, fertility, neurology, and more
  • Insurer-policy lookup with verbatim coverage-criteria citation
  • Adversarial reviewer pass before delivery
  • Letter-summary cover sheet on every output
  • HIPAA-compliant audit log on every PHI access
  • Two free regenerations per PA
Multi-prescriber practices
Starter — up to 5 seats$499/mo
Growth — up to 20 seats$999/mo
Above 20 seatsEnterprise

Practice tiers bundle seats — no per-seat add-on math. Owner manages billing and seat assignment from the dashboard.

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Enterprise
Custom

Health systems, hospital networks, large specialty practices. Typical engagements $50K–$250K annually, 1–3 year contract.

  • Unlimited PAs + unlimited consumer-side appeals on a flat annual contract
  • Dedicated account manager — single point of contact
  • EHR integration consulting (Epic, Cerner, Athena, eCW)
  • SLA-backed support — guaranteed response times + uptime
  • Custom branding — white-label option for the patient-facing surface
  • Custom BAA tailored to your environment
  • Onboarding + clinical staff training
  • Practice-level reporting dashboards
When Enterprise makes sense
  • 5+ prescribers AND 100+ PAs per prescriber/mo
  • Hospital system or large specialty practice with central procurement
  • Need EHR integration on day one
  • Need uptime SLA and guaranteed response time
  • Want white-label / custom-branded patient experience
Contact Enterprise →

FAQ

Why $149 and not less?

The price is set so we’re profitable on every customer, even worst-case usage. That sustainability is what lets us invest in keeping the product working — formulary updates, insurer-policy refreshes, ongoing prompt tuning, expanded specialty coverage. Cheaper tools exist; they’re either pharma-funded (CoverMyMeds), bundled with EHR licenses (Surescripts), or limited in scope. We’re priced to be independent.

What’s included at $149/mo?

Unlimited appeal-letter drafts on behalf of your patients, all 93+ specialty verticals, insurer-policy lookup with verbatim coverage-criteria citation, the adversarial-reviewer pass, branded letterhead, the HIPAA audit log, and the upcoming Pro PA Generator when it launches. No per-letter charge, no metered overage on appeals.

Can I switch from self-serve to Enterprise mid-contract?

Yes. Email enterprise@denialhelp.com and we’ll prorate. Typical reasons to switch: rapid practice growth, EHR integration becoming critical, or you’ve crossed the volume threshold where Enterprise is cheaper.

Cancellation?

Self-serve: cancel any time from your dashboard, access continues to end of paid period. Enterprise: contract terms apply (typically 1–3 year, with off-ramps documented in the MSA).

What about the consumer appeals product?

The consumer flow at denialhelp.com (patient uploads denial letter → pays $39 → letter generated → patient brings to their doctor) is separate from Pro. Pro accounts can also generate consumer-style appeals on behalf of their patients without the per-letter charge — that’s covered in the $149/mo per-clinician fee.

HIPAA compliance?

Yes. DenialHelp, LLC has a designated Privacy Officer, signed Security Risk Analysis on file, AES-256 encryption at rest, TLS 1.3 in transit, immutable audit logging on every PHI access. BAAs in place with every PHI sub-processor. Full sub-processor list at /privacy.

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