The forms we fill
When you buy Appeals Plus, CaseWhy Appeals doesn't just draft a letter — for the forms below, it fills the actual government form, with your case's own facts, ready to sign and send.
Which Medicare do you have? Look at the card in your wallet →Every coverage type
Needed whenever someone else will act on your behalf, at any level, for any kind of Medicare.
CMS-1696 — Appointment of Representative
We fill thisLets someone else — a family member, caregiver, or advocate — deal with Medicare, a plan, or a contractor on your behalf. Included in every Appeals Plus packet, regardless of which kind of denial you're fighting.
Read the full walkthrough →
Medicare Advantage
Level 1 is the plan's own reconsideration — no CMS-numbered form exists for it.
Level 1 uses the plan's own reconsideration form, portal, or fax — no CMS number. CaseWhy Appeals drafts the reconsideration letter that goes with it.
Not sure which one you need?
Upload your notice for free and CaseWhy Appeals tells you which appeal level you're at and which form (if any) it needs — you don't need to figure this out yourself.