Denied? That's not the end.
Many people never appeal a denied claim, but appeals often succeed. We explain why you were denied, write the appeal and track every deadline.
The things that go wrong most
- Not medically necessaryOften reversed with your doctor's notes.
- Missing prior authorizationSometimes the provider's job, not yours.
- Out-of-network denialsEmergencies and surprise bills have protections.
- Coding errorsA wrong code can trigger an automatic denial.
- Missed appeal stepsPlans must tell you how to appeal and by when.
- External review rightsAn outside doctor can overrule your plan.
Summit Health Plan, start to finish
Your plan denied an MRI as not medically necessary. You have the right to appeal, and your doctor's notes help.
We name the rule, so they take you seriously.
General information. Rules vary by state and plan, and we'll check the details on your letter.
What you'll do
- 1
Snap the denial
Add the letter or the explanation of benefits.
- 2
Understand the reason
Plain words, plus what usually wins this kind of appeal.
- 3
Appeal on time
We write it, count their deadline and help with round two.
Common questions
How long do I have to appeal?
Usually 180 days from the denial for an internal appeal, but plans vary. We'll pull the date from your letter.
What if my appeal is denied too?
You can usually ask for an external review, where an outside doctor decides. We'll help you write it.
Fighting your insurance company? Start here.
Scan it free and see where you stand in a minute.