Built for Patients

Appeal your health insurance denial in minutes.

Upload your denial letter. AI generates a professional appeal citing your policy, medical necessity, and state regulations. We print and send it via USPS Certified Mail — and email it to your insurer with you CC'd.

Certified Mail + email deliveryEncrypted & securePay based on our costs. No subscriptions.

Appeal Assistant

Analyzing your denial letter...

I've identified that your claim for a Lumbar MRI was denied by Anthem Blue Cross for "not medically necessary." Based on your 6 weeks of conservative treatment, I can draft a strong appeal citing clinical guidelines.

Yes, please draft the appeal. My doctor says the MRI is needed to rule out a herniated disc.

Done! I've drafted your appeal citing CA Health & Safety Code §1370.4 and AMA imaging guidelines. I've also included a request for a peer-to-peer review and your complete claims file.

Insurance companies count on you giving up

Every year, insurers deny millions of claims. They know the math: fewer than 1 in 100 people will ever file an appeal. But a formal written appeal — sent via certified mail that creates a legal record proving you filed on time — changes the equation.

83%

of prior authorization appeals succeed

Source: AMA, 2022

44%

of all internal appeals overturn the denial

Source: KFF, 2023

<1%

of denied claims are ever appealed

Source: KFF, 2023

Appeal Mailer sends your appeal two ways: USPS Certified Mail with return receipt — a physical copy in transit that creates a legal record proving you submitted before the deadline, plus an email to the insurer referencing the certified mail tracking number — so they can never claim they didn't receive it. It's the same approach attorneys use, at a fraction of the cost.

From denial letter to certified legal appeal

See exactly what you'll do — it takes about 10 minutes.

1

Upload your denial letter

Drop in the PDF or snap a photo. AI reads it instantly — extracting the denial reason, claim codes, insurer details, and appeal deadlines. No complex forms required.

  • Supports all major US insurers
  • HIPAA-compliant document storage
NEW APPEAL
Patient Name
Sarah Johnson
Insurance Company
Anthem Blue Cross
State
California

denial-letter-anthem.pdf

✓ Uploaded successfully

AI Extracted Details
Insurer: Anthem Blue Cross
Claim #: ANT-2025-04821
Denial reason: “Not medically necessary”
Service denied: Lumbar MRI
Appeal deadline: May 15, 2025
Policy ref: Section 4.2.1
✓ All details extracted — ready to generate appeal
Appeal Letter — Draft v1
DRAFT
March 12, 2025
Anthem Blue Cross
Claims Review Department
P.O. Box 27401
Richmond, VA 23261
RE: Appeal of Claim ANT-2025-04821
Dear Claims Review Department,
I am writing to formally appeal the denial of a lumbar MRI ordered by Dr. Michael Chen (NPI: 1234567890) for patient Sarah Johnson. The denial letter dated February 28, 2025 states the procedure is “not medically necessary.”
Per California Health & Safety Code §1370.4, insurers must provide a timely and thorough review...
The treating physician has documented progressive lower back pain unresponsive to 6 weeks of conservative treatment including physical therapy and NSAIDs...
AI Assistant
I've drafted your appeal letter citing CA Health & Safety Code §1370.4 and your policy's medical necessity criteria. Want me to strengthen the clinical justification?
Yes, and mention that my doctor recommends a peer-to-peer review
Done! I've added a paragraph requesting a peer-to-peer review per your insurer's guidelines and included a reference to the AMA's prior authorization reform principles. I also added a request for your complete claims file.
Type a message...
2

Review & edit your appeal letter

AI writes a professional appeal citing legal precedents and clinical guidelines. Chat with the assistant to refine it. Nothing is sent until you approve it.

Clinical Evidence

Linked to medical standards

Full Control

Edit any part of the letter

3

We print, mail, and email it — today

USPS Certified Mail with tracking + email to insurer with you CC'd. No stamps, no envelopes, no post office lines. It's the same approach attorneys use, at a fraction of the cost.

Legal Peace of Mind

Certified mail provides a legal paper trail that insurance companies cannot ignore or claim they "never received."

Your appeal has been sent!
Two delivery methods for maximum impact
USPS Certified Mail
Status: In transit
Tracking: 9400 1118 9956 1234 5678
To: Anthem Blue Cross, Claims Review
Return receipt: Requested
Email Delivery
Status: Delivered
To: claims@anthem.com
CC: sarah.johnson@email.com
Subject: Appeal of Claim ANT-2025-04821
Appeal Letter (PDF)
Download
Certified Mail Receipt
Download
Email Confirmation
Download

Transparent Pricing

No surprise bills or recurring fees. You only pay when you decide to send your appeal.

ONE-TIME FEE

Pay based on our costs.

No subscriptions. No hidden fees.

Certified Mail

Physical delivery + signature

Email Delivery

Direct copy to your insurer

Encrypted & Secure
HIPAA Compliant
Get Started Now

Pricing is calculated at the final step based on postal rates.

Real people. Real appeals. Real results.

These stories are from public news reporting on insurance appeal outcomes.

"I had actually gotten to a place where I had fallen asleep while driving. That's something that would normally have never happened to me."

TS
Tony Simek
Denied sleep study — appealed via CA regulators
Approved after appeal
Source: NPR, 2014

"Not only has the delay caused Stephanie permanent damage, it will be a lifelong thing for her to deal with." After 9 months of denials, an appeal letter got the drug approved in 2 days.

SN
Stephanie Nixdorf
Denied arthritis medication — Premera Blue Cross
Approved in 2 days after appeal
Source: NBC News, 2025

"This is when I really start to think they're just denying. They're not even looking. They're just 'deny, deny, deny.'" She won her external appeal for $70,000+ in psychiatric care.

TS
Teressa Sutton-Schulman
Denied psychiatric care — Highmark BCBS
Won external appeal — $70K+ covered
Source: ProPublica, 2023

Denied coverage for a dual-biologic treatment for severe ulcerative colitis. After appealing and exposing internal emails showing the insurer misrepresented his doctor's recommendation, coverage was restored.

CM
Christopher McNaughton
Denied biologic drugs — UnitedHealthcare
Won appeal — $800K+ in treatment covered
Source: ProPublica, 2023
Stories from NPR, ProPublica, and NBC News. Statistics from AMA and KFF.

Common questions

Will my insurance company take this seriously?+

Yes. We use a dual-delivery approach for maximum impact. Your appeal is printed and sent via USPS Certified Mail with Return Receipt — the same method used by attorneys to create a legal paper trail. We also email the same letter directly to your insurer, CC'ing you, and reference the USPS Certified Mail tracking number so they know there's a physical copy on the way.

How long does the insurance company take to respond?+

Federal law sets clear deadlines. For standard internal appeals, insurers must respond within 30 days (pre-service) or 60 days (post-service). For urgent/expedited appeals, they must respond within 72 hours. If they miss these deadlines, you may have grounds for an external review.

What if my appeal is denied again?+

If your first appeal is denied, you have the right to request an external review by an independent organization — not your insurance company. According to GAO data, external reviews overturn insurer decisions roughly 40% of the time. We can help you with next steps and file a second-level appeal if needed.

Does the AI follow best practices for appeals?+

Yes. Our AI-generated appeal letters follow established best practices: requesting a peer-to-peer review between your doctor and their reviewer, requesting your complete claims file, requesting the reviewer's internal notes, and citing specific state regulations and policy language relevant to your denial.

How does the AI know what to write?+

Our AI reads your denial letter and references your specific policy terms, the insurer's stated denial reason, medical necessity guidelines, and your state's insurance regulations. Every appeal is customized to your exact situation — not a generic template.

Is my health information safe?+

We take your privacy seriously. All data is encrypted in transit and at rest using industry-standard encryption. Your documents are processed securely and are never shared with third parties. We retain your data only as long as needed to process your appeal, and you can request deletion at any time.

What types of denials can I appeal?+

Almost any insurance denial can be appealed — MRIs, surgeries, medications (including GLP-1s), physical therapy, mental health services, lab work, and more. If your insurer denied a claim, you likely have the right to appeal. The AMA reports that 83% of prior authorization appeals succeed — the odds are in your favor.

Can I edit the appeal letter before it's sent?+

Yes! You have full control. Review every word, make edits, and chat with our AI assistant to refine the letter. Nothing is sent until you approve it.

Why both certified mail and email?+

Certified mail creates a legal paper trail with proof of delivery — insurers cannot claim they didn't receive it. Email ensures instant delivery and gives you a digital record. The email references the USPS Certified Mail tracking number, so the insurer knows a hard copy is on its way. This dual approach is what professional patient advocates recommend for maximum effectiveness.

Your denial letter says “no.”
That's not the end.

The AMA reports 83% of prior authorization appeals succeed — yet less than 1% of people try. Upload your denial letter and we'll handle the rest: professional appeal, USPS Certified Mail, and email delivery with you CC'd. ~$20, no subscription.

Start My Appeal →
Appeal Mailer is a document drafting and mailing tool. We do not provide legal advice, insurance negotiation, or case management services.