For Providers
Built by Providers, for Providers
You shouldn't need a law degree to get paid for the care you deliver. We handle health insurance appeals so you can focus on what you do best, treating patients.
The Provider Reality
You've verified insurance. You've treated the patient. Documented everything. Billed correctly. And still, the claim comes back denied.
"Not medically necessary." "Experimental." "Other reasons." The rejection doesn't make clinical sense, but now you're facing a choice: write it off, send the patient to collections, or spend hours you don't have navigating a confusing appeal process designed to make you give up.
Meanwhile, the revenue you've rightfully earned sits in limbo. Cash flow stalls. Write-offs add up. And you're spending administrative time on insurance bureaucracy instead of patient care.
It shouldn't be this way.
Less than 3% of providers even attempt to appeal denials, not because the denials are valid, but because the process feels impossible. Different insurance plans have different rules. Deadlines vary by state. Documentation requirements are unclear. And the entire system relies on providers accepting "no" as final.
But here's what insurance companies don't advertise: 50-90% of appealed denials get overturned. Most of these claims should have been paid in the first place.
of providers attempt to appeal denials
Not because the denials are valid, but because the process feels impossible.
of appealed denials get overturned
Most of these claims should have been paid in the first place.
Why Provider Appeals Matter
When you successfully appeal a denial, three things happen:
Every overturned denial means money back in your practice, typically hundreds or thousands of dollars per claim. That's revenue you've already earned, just delayed by bureaucratic rejection.
When providers win appeals, patients never recieve an unexpected bill. You stop the problem upstream, before it becomes their burden. No collections notices. No treatment delays. No financial fear preventing them from seeking future care.
The more providers successfully appeal wrongful denials, the more insurance companies are held accountable. Every appeal is data showing that initial denials were unjustified. Over time, that pushes the system toward equitable first-pass decisions.
How We Help Providers
We take the appeals process off your plate
Using the same proven approach that achieved an 85% reversal rate in our own practice.
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We Handle the Complexity
Different denial types require different appeal strategies. ERISA plans have federal requirements. State-regulated plans have different timelines and requirements. Each type of claim denial involves specific documentation. We identify which appeal pathway applies to your situation and guide you through the requirements.
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We Build Strategic Appeals
Every appeal is built from proven state and federal frameworks, then customized to address your specific denial reason, insurance company requirements, and medical context. This combines the efficiency of tested approaches with the precision of tailored strategy.
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We Manage Communications
We manage communications with the health insurance company and keep you updated throughout.
Where We Can Help
Denied Claims
When an insurance company refuses to pay for covered care, whether it's "not medically necessary," "experimental," "investigational," or the vague "other reasons."
Underpaid Out-of-Network Claims
When reimbursement falls far below what's reasonable for the services you provided.
Confusing Denials
When you don't understand why the claim was rejected or what steps to take next.
Common Denial Types We Handle
Note: We focus on medical necessity and coverage disputes, not administrative, billing, or coding errors.
Not medically necessary
Experimental
Investigational
Bundling decisions
Missing documentation (when already submitted)
Prior authorization issues
Misquoted verifications
Improper payment deductions
"Other reasons" (the catch-all for unclear denials)
What Makes Us Different
This solution wasn't designed in a tech lab. It was developed by a provider who spent years fighting these same battles in a real practice, figuring out what works, what doesn't, and how to beat a system designed to discourage appeals.
An 85% reversal rate isn't luck. It's the result of understanding how insurance companies make decisions, what documentation they require, and how to construct appeals that address their stated reasons for denial.
Automated systems can generate appeal letters quickly. But winning appeals requires understanding medical context, interpreting policy language, and building strategic arguments. We use technology where it helps and rely on proven expertise where it matters most.
We understand appeals from both sides, how providers need to recover revenue, and how patients need access to care. Our provider background means we know what it takes to build successful appeals across the board.
The Bottom Line
You became a healthcare provider to treat patients, not to become an expert in insurance appeals. The system shouldn't require you to spend hours decoding policy language, researching federal regulations, or writing legal arguments just to get paid for work you've already done.
Our platform handles that complexity for you.
Ready to Recover What You've Earned?
Want to learn more about our approach? How We Help →
Disclaimer
Appeal It Now provides administrative support and appeal preparation services only. We are not a law firm and do not provide legal advice. Please consult an attorney for legal matters.