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Need help appealing a medication denial?

Let AI help you!

Use our free Appeals Assistant to generate clinical justifications and appeal letters for medications and treatments denied by insurance.

Click 'Start a conversation' below to get started!


How It Works

  1. Enter the details: Provide the prescribed medication, the insurer’s preferred alternative, and the condition being treated.
  2. Review the clinical rationale: The tool returns a structured summary that includes efficacy, safety, adherence, and clinical guidelines.
  3. Generate a letter: Upon request, it formats your rationale into a draft appeal letter with placeholders for customization.

Frequently Asked Questions

What types of denials does this tool help with?

This tool is specifically designed to support medication or treatment prior authorization appeals. It is not intended for use with billing disputes, general claim denials, or procedure rejections.

Can I edit the letter the tool generates?

Yes. The tool outputs plain text with clearly labeled placeholders (e.g., [Patient Name], [Diagnosis], [Insurance Company]). You can copy and paste it into your EHR or appeal submission platform.

Does the tool cite medical sources?

Yes. The tool references relevant guidelines and clinical literature to support its rationale. Citations may include published trials or recommendations from bodies like the AAD or ACR.

Who can use this tool?

While it is designed for physicians, nurse practitioners, and prescribing clinicians, it may also be helpful for billing staff and prior auth coordinators working under clinical supervision.

Do you offer other helpful resources for practices?

Yes — the site you're on now is actually one of them! Our Front Desk Essentials course was created to help ease the stress of training new hires to work at the front desk of your medical practice. The course includes 11 lessons in total — Part I (5 Lessons) is completely free, while Part II (6 Lessons) is only $25. You can click here to learn more.

Disclaimer: This tool is provided to assist with appeal preparation. Users are responsible for verifying the clinical accuracy and appropriateness of the generated content. Use does not guarantee insurance approval.