Insurance Denial Appeal

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Before you start — about 10 minutes

What you'll need:

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Upload what you received — you can select multiple files — or paste the text. Both optional if you have all details below.

Upload documents (PDF, JPEG, PNG — up to 5 files, 25 MB each)

Or paste text (copy from the letter, notice, or bill)

More detail = stronger letter.

What kind of insurance?

This decides which law your appeal argues from, so the rest of the form changes with it.

Insurance company

Claim number

What was denied? *

Member / Policy ID

Date of service

Why does the denial say it was denied?

Is this an employer-sponsored plan?

Medical context (optional)

Goes on the letter as the sender. We'll email you a link back to your draft.

Full name *

Street address *

Apartment, suite, etc. (optional)

City *

State *

ZIP *

We verify your address with USPS so your letter reaches its destination.

Email address *

We'll send a link back to your draft. No spam.

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