CaseWhy Appeals now covers Original Medicare claim denials

CaseWhy Appeals already covered the fast-track appeals Original Medicare families run into most — a hospital discharge, an observation-status change, a skilled nursing or home health service ending. As of today, it covers the other, more common path too: a denied line on your quarterly Medicare Summary Notice.

Upload your MSN, and CaseWhy Appeals finds the denied claim, explains in plain language what the actual coverage rule requires, and walks you through the real five-level claims ladder — a redetermination by your Medicare Administrative Contractor, a reconsideration by an independent Qualified Independent Contractor, an Administrative Law Judge hearing, review by the Medicare Appeals Council, and, for a large enough claim, federal court.

The single most common real question families have isn't about the medical rule at all — it's "do I actually owe this bill?" If a provider billed you for something Medicare denied, whether you're liable turns on a specific document: the Advance Beneficiary Notice. CaseWhy Appeals walks through exactly what makes an ABN valid, and drafts the letter for the cases where it isn't.

Two real, verified government forms come filled in alongside your letter — CMS-20027 for the first-level redetermination, CMS-20033 for the second-level reconsideration — plus a real, live-verified path to reach the Qualified Independent Contractor for your state.

Understanding the denial is free, the same as it's always been. Fighting it is $49 once for an Original Medicare case, after your letter already exists — you see it before you're ever asked to pay.