How it works

1. 1

   Upload the letter or the bill

   Free

   Take a photo or upload the PDF of the Medicare Summary Notice, the redetermination or reconsideration decision, a Notice of Medicare Non-Coverage, an Important Message from Medicare, a Medicare Change of Status Notice, an MSP demand letter, or the facility bill. We read it and tell you what it is, what was denied or demanded, and the date that starts your clock. If it's a fast-track notice, 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, what Medicare's own rule says about that kind of denial or demand — with a link on every claim so you can check it yourself, which level you're at, and how long you have.

3. 3

   See both clocks

   Free

   Your deadline to file (120 days from the Medicare Summary Notice at the first standard level)rule42 CFR § 405.942, and the contractor's own deadline to answer once you've filed (60 days at the MAC, 60 days at the QIC, 90 at OMHA, 90 at the Council)rule42 CFR § 405.1014. If a fast-track notice applies instead, the clock runs in hours, not days — we tell you which one you're on and the day each deadline lands. Reminders by email 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 redetermination request (CMS-20027), the reconsideration request (CMS-20033), or the fast-appeal request — argued from the rule the contractor is bound by, whichever level your case is actually at.
   2. The Appointment of Representative form (CMS-1696), filled in, so you can act for your parent.
   3. If a facility billed you for a service Medicare denied with no valid Advance Beneficiary Notice, the liability dispute letter to the provider.
   4. Every follow-up letter as the case moves: the ALJ hearing request (OMHA-100), the Medicare Appeals Council review request (DAB-101), and the escalation letter if a contractor misses its own deadline.
   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 a contractor won't answer, if the amount is too small for a hearing, if a facility sends the bill to collections, or if you missed a window, the case page tells you exactly who to call and what to say. 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 notice correctly. The packet costs money because it costs us money to build and keep current — the rules, the deadlines, and the forms 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.

My parent has both a fast-track situation and a regular claim denial — is that two cases?

Yes, each denied claim or terminated service is its own case with its own clock. A second denial 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 contractors accept fax, mail, or an online 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.