We got denied
An insurance denial or prior auth rejection arrived.
Denials feel personal. They're usually a paperwork process, not a verdict. Most are reversed on appeal. Here's the order that works.
- 01
Log the denial
Save the date, payer, service, reason, and any reference number in the Coverage Center.
Open Coverage Center - 02
Translate the letter
Paste the denial letter into the Medical Explainer for plain-English context.
Open Explainer - 03
Call the payer
Use the call prep script: ask for the exact denial code, the appeal deadline, and whether a peer-to-peer is available.
Log a call - 04
Ask the doctor for support
Most appeals need a letter of medical necessity. Generate a request to the prescribing provider.
Draft request - 05
Draft an appeal letter
Use the Appeal Letter generator with the denial details. Edit the AI draft to be yours.
Draft appeal - 06
Document everything
Save the denial letter, the appeal you sent, and any responses in Documents.
Save docs - 07
Know your rights
External review, state insurance commissioner, Medicaid fair hearings - Patient Rights covers all of them.
Open rights