We don't stop at the appeal — we escalate it for 45 days.

Yes — Medicare Advantage is exactly who DenyBack is built for. MA plans denied 4.1 million prior authorization requests in 2024, and the process rewards the patients who actually file: 80.7% of appeals are partially or fully overturned. DenyBack handles the full MA appeal and 45-day escalation. Note that Original Medicare (fee-for-service) and Medicaid use different appeal processes — if you're on one of those, your state's free SHIP counselor offers help with these.

You can — most insurers have an "appeal" button, and the first-level appeal often goes through it. But a portal submission stops inside the insurer's own system. It doesn't create the certified-mail record state regulators require. It doesn't file your external review request with the independent review organization. And it doesn't follow up on Day 14 or escalate on Day 30 if the insurer simply doesn't respond — which happens often. DenyBack runs the full 45-day escalation: certified mail at every step, a documented record, and the commissioner complaint and external review filed for you. The portal gets you one appeal. DenyBack gets you four — each one harder to ignore.

DenyBack works for all common health insurance denial types including prior authorization denials, medical necessity denials, coverage denials, out-of-network denials, and denials for experimental or investigational treatments. Our escalation packages are tailored to your specific denial reason and state regulations.

No. DenyBack is a document preparation and submission service acting at the user's direction, not a law firm. We do not provide legal advice, legal representation, or attorney-client relationships. Our service generates AI-assisted document templates based on your inputs and publicly available insurance regulations, which are reviewed and approved by you before submission. For complex legal matters, especially those involving ERISA plans or urgent medical situations, we recommend consulting a licensed attorney.

Your escalation package includes multiple levels of escalation. If your internal appeal is denied, you can file the external review request with your state's independent review organization. The commissioner complaint is the nuclear option — it puts your insurance company on notice with your state's Department of Insurance. Each step increases pressure on the insurer to reconsider.

Your documents are ready in minutes after you complete the intake form and payment. You can review, download, or send them directly from your dashboard. The actual appeal timeline depends on your insurer and state regulations, but internal appeals typically take 30-60 days for a decision.

You'll need your denial letter (or the key details from it), your insurance information (insurer name, plan type, member ID), and a brief description of why you believe the denial is wrong. The more detail you provide, the stronger your appeal documents will be.