Public data · Patient side

Your insurer’s denial record is public now. Use it against the denial.

Medicare Advantage, Medicaid, and marketplace insurers must now publish how often they deny care, how long they stall, and how often their denials get overturned. We collect it, verify it, and put it in your appeal.

11%

of denied patients ever file an appeal

82%

of appeals succeed at least in part

80.7%

of appealed Medicare Advantage prior-auth denials are overturned

SOURCE: KFF ANALYSIS OF CMS MEDICARE ADVANTAGE DATA · METHODOLOGY

Popular:

Notice of Adverse Benefit DeterminationPG 1/2

Dear Member Name,

After review, we have determined that the requested service, MRI, lumbar spine (CPT 72148), is not medically necessary under your plan’s coverage criteria. Your physician’s request has been denied.

You have the right to appeal this decision within 60 calendar days of the date of this notice…

We read these for a living. Upload yours.

Three moves. One of them is free.

Built for the moment the envelope arrives, when you’re stressed, on a deadline, and outgunned.

STEP 1

Explain my denial FREE

Upload the letter. Get a plain-English translation, your exact deadline, and your appeal rights.

STEP 2

See the data

Your insurer’s denial and overturn rates, from their own required disclosures and state review records.

STEP 3

Generate my appeal $39

A complete, cited appeal package with the data on your side, formatted for your plan type.

Start with the free explainer

Know your ground first

Insurer denial ratesDenial and overturn rates for major insurers, from their own required disclosures.Outcomes by treatment42,000+ published review decisions: how often denials for drugs, imaging, mental health, and more get overturned.Your appeal rightsMedicare Advantage, employer plans, marketplace, Medicaid — deadlines and escalation ladders.Denial reasons decodedWhat “not medically necessary” actually means, and the counter-strategy for each denial type.