C
← Back to Directory

Prior-Authorization Appeal Generator

One in seven prior-authorization requests is denied — and roughly half of appeals win. We draft the formal appeal letter citing ERISA §503 (29 U.S.C. §1133), the DOL claims-procedure regulation at 29 C.F.R. §2560.503-1, and your external-review rights under ACA §2719. Free. No login.

We quote this verbatim in the appeal and demand the insurer cite the specific clinical criteria they applied.

Pre-service appeal — insurer must respond within 30 days per 29 C.F.R. §2560.503-1(i)(2)(i).

We cite ERISA §503, 29 C.F.R. §2560.503-1, and your ACA §2719 external-review rights. The letter is emailed to you to send to your insurer. Not legal advice.