How it works

1. 1

   Upload the letter or the bill

   Free

   Take a photo or upload the PDF of the denial notice, the reconsideration decision, the independent reviewer's decision, or the facility bill. We read it and tell you what it is, who sent it, what was denied, and the date that starts your clock. If it's a Notice of Medicare Non-Coverage or an Important Message from Medicare, we send you straight to the fast-appeal screen with the phone number to call — no account needed for that.

2. 2

   Get the explanation

   Free

   In plain language: what happened, why the plan says it denied it, what Medicare's own rule says about that kind of denial — with a link on every claim so you can check it yourselfrule42 CFR § 422.101(b), which of the five appeal levels you're atruleMedicare.gov — Filing an appeal (5 levels), and how long you have. Three quick questions about your situation (“was there a hospital stay of at least three days first?”) sharpen the explanation to your case.

3. 3

   See both clocks

   Free

   Your deadline to file (65 days from the date on the notice at the first level)rule42 CFR § 422.582, and the plan's own deadline to answer once you've filed (30 days for care not yet received, 60 for a bill, 72 hours if expedited)rule42 CFR § 422.590. If the plan misses its clock, that silence counts as a denial and the case must go to the independent reviewerrule42 CFR § 422.590 — we tell you the day it happens. Reminders by email at day 30, 55, 62, and the day before, so nothing slips.

4. 4

   Fight it — Appeals Plus

   $49, per case

   We write the letter first and show you the preview. If we can't write it, you're never asked to pay. This is the appeal packet:

   1. The appeal letter, argued from the rule the plan is bound by, with a footnote on every point a plan reviewer can check. Standard or expedited; for care not yet received or for a bill you've been sent. Download it, copy it, regenerate it, send it the way the notice tells you to.
   2. The letter for your doctor — one page that tells the office exactly what a supporting letter needs to address, with your deadline on it, so you're not asking them to guess.
   3. The Appointment of Representative form (CMS-1696), filled in, so you can act for your parent.
   4. Every follow-up letter as the case moves: the evidence cover letter for the independent reviewer if the plan says no again, and the request for a judge's hearing if it goes that far.
   5. Your information stays yours. Your parent's name, Medicare number, and address go into the letter when you download it and are not stored by us.
5. 5

   Keep going until it's done

   Free

   Upload each decision as it arrives and the case moves to the next level with a new deadline and a new letter. If the plan won't answer, if the amount is too small for a hearing, if a facility sends the bill to collections, or if you missed the window, the case page tells you exactly who to call and what to say — the state's free Medicare counselors, the independent reviewer, the Medicare complaint line, or when it's time for a lawyer or an advocate. One payment covers this case at every level for 12 months.

What $49 is compared to

Prices for other services as observed September 2026.

Then we keep track of it

Every step, every form, every date, in one place — free, for as long as the case takes.

Why not free?

The explanation is free because you shouldn't have to trust us before you've seen that we read your letter correctly. The packet costs money because it costs us money to build and keep current — the rules, the coverage decisions, and the deadlines change, and every citation in your letter is checked against the current text the day you generate it.

Questions people ask

What if you can't write my letter?

Then there's nothing to pay for. We prepare your letter first and show you the preview; the $49 unlocks the download. You see your letter before you pay.

What if we lose?

No refunds based on outcome — we can't promise a result, and we don't. What we promise is that your letter argues from the rule and arrives on time.

Is this legal advice?

No. CaseWhy Appeals explains the rules and prepares documents; it isn't a law firm and doesn't replace one. When a lawyer helps, we say so.

Does one payment cover my mother and my father?

Each person's denial is its own case. A second denial for the same person, for a different service, is also a new case.

Do you send the appeal for me?

Not yet. The letter tells you where and how to send it; most plans accept fax, mail, or their member portal.

Is Plus a subscription?

No. Plus is a single, one-time payment of $49 per case — nothing renews or recurs, and no further charge follows for that case. It covers every letter and every appeal level for 12 months.