BASIS APPEALS / DRAFT

Draft your appeal

Paste your denial code and the letter you received. You see a preview before you pay.

Takes about 3 minutes. See a sample letter first. Or talk it through instead.

Free previewAbout 3 minutesRefund if the packet is wrong

1. About the denial

Denial code e.g. CO-50, CO-197, PR-204Denial letter text (paste from your EOB or denial notice)

Optional but strongly recommended. The more we see, the better the draft.

Date on the denial letter (optional)

2. About your plan

Insurer (short name, letters and dashes only)

Start typing to pick from common insurers, or type your own short name. If your insurer is not in our directory we look up the appeals address before assembling the packet.

Plan year

Plan type

3. Special situations (optional)

Urgent. Delaying a decision would seriously jeopardize life, health, or the ability to regain maximum function. Triggers a 72-hour expedited-review request.Internal appeal already denied. Switches the letter to an external-review request under ACA Section 2719.Emergency service by an out-of-network provider, or an out-of-network provider at an in-network facility. Triggers a No Surprises Act letter.

4. Pick your packet

TierEmail for follow-up (optional)

So we can email you deadline reminders. We never share your address.

Allow anonymous aggregate use of the denial code, insurer, and year to help future appellants. Nothing identifying is shared.I understand this is a document assistant, not legal advice, and not a representation. (required)

No charge until you review the draft. No account required.

By continuing you confirm you understand this is a document assistant, not legal advice, not medical advice, and not a representation.