Insurance denied your medication? Send it to us.
We call your doctor's office, get your records, build the appeal around your insurer's own rules, and stay on it until you get an answer. You don't pay anything.
Get free help with my denialTakes a minute. No paperwork to start.
Fewer than 1 in 100 denied claims ever get appealed. Of the ones that reach an independent reviewer, about half get overturned.
KFF analysis of 2024 HealthCare.gov plan data; state external review reports.
Most people give up because the appeal is a part-time job.
Records to request. A doctor's office that's too busy to call back. Deadlines buried in a letter. Hold music. That's the part we take on. Most tools stop at the letter and leave the rest to you. We don't.
We work the doctor's office
Calls and emails until your records and the doctor's signature come back.
We use your insurer's own rules
We pull your plan's coverage policy for your drug and show how you meet each requirement.
We check your state's laws
Many states limit "try the cheaper drug first" rules. If yours does, we use it.
We stay on the insurer
We file, confirm they got it, track the deadline, and escalate to an independent review if they say no again.
You'll always know where things stand.
You get a text or email every time something moves, so you're never left wondering if anyone is working on it.
- Denial reviewedReason: step therapy
- Records requested from the doctor's office2 calls, 2 emails, received
- Insurer's coverage rules matched point by point
- State step-therapy law checked and cited
- Doctor reviewed and signed
- Appeal filed, receipt confirmed by phoneWaiting on the insurer; we follow up before the deadline
"Someone I love was denied a medication they needed. The appeal took weeks of phone calls, faxes and waiting on hold, and most people don't have that kind of time when they're sick. I started RxAppeal so nobody has to fight that battle alone."
Liam, founder · [email protected]
A few things you should know
- It's free for patients and their doctors' offices.
- Your doctor makes every medical decision. Nothing goes out in their name without their signature.
- We use your information only for your appeal. We never sell it.
- We can't promise your insurer will say yes. We can promise it won't be for lack of trying.
For doctors' offices
When a patient calls asking what to do about a denied medication, send them here. They sign their own authorization, we request records with it, and we handle the back-and-forth with your staff by phone and email. Your doctor gets documentation ready to review and sign. There's no cost to your practice.
Questions
Does it cost anything?
No. RxAppeal is free for patients and providers.
Which medications do you help with?
Mostly specialty and brand-name medications, like biologics for eczema, asthma, Crohn's, colitis or psoriasis. We're strongest when the denial says "step therapy," "not medically necessary" or "prior authorization required."
How is this different from an appeal letter tool?
A letter tool gives you a document. We do the work around it: calling your doctor's office, getting records and signatures, filing, following up and escalating.
Can you guarantee approval?
No. Insurers make their own decisions. We build the strongest case we can and keep going until there's an answer.
Do you give medical or legal advice?
No. Your doctor makes all medical decisions. We handle the paperwork, the calls and the follow-up.
What if waiting is dangerous to my health?
Contact your doctor right away and ask for an urgent (expedited) appeal. Insurers must decide urgent appeals much faster.
Tell us how to reach you.
We'll call within one business day to hear what happened and walk you through next steps.