For practice managers and billing leads at Texas medical practices
Plans deny millions of requests a year. We prepare the appeal for your physician to sign.
We start with spine and pain: epidurals, facet procedures, spine surgery and spine MRI or CT.
Why appeal
Plans deny millions of claims, and few get appealed
About 1 in 5
in-network claims were denied on HealthCare.gov plans in 2024, about 85 million.
KFF, March 24, 2026, from 2024 HealthCare.gov plan data
Fewer than 1 in 100
of those denied claims were appealed.
KFF, March 24, 2026, from 2024 HealthCare.gov plan data
8 in 10
appealed Medicare Advantage prior-authorization denials were overturned, in full or in part, in 2024.
KFF, January 28, 2026, from 2024 Medicare Advantage data
Public figures, not our results.
The pilot
The December pilot covers four kinds of denial
Spine and pain packets come first. New types get added when an office brings them.
Epidurals
Denied epidural steroid injections.
Facet procedures
Denied facet nerve blocks and nerve ablation.
Spine surgery
Denied back and neck surgery.
Spine MRI or CT
Denied imaging of the spine.
Each packet is prepared for your practice's physician to sign. It holds a letter that answers the plan's stated reason, a criteria table, an exhibit list, a deadline sheet and a sign-off page.
The rules each packet usesHow it works
It works in three steps
Step 1: Your office picks choices
Your staff pick the plan type, the plan's reason and the service from short lists. No patient names, dates or ID numbers. The five checks first.
Step 2: We prepare the packet
Every packet passes our automatic checks, and a person checks every packet those checks flag, plus a random sample.
Step 3: Your office checks, signs and sends
Your staff tick a short checklist, then your physician reviews and signs, then your staff send it.
The pilot
Early offices can join the December pilot
Founding offer: the first 10 practices to sign get their first 30 days free, with no packet limit. Then $300 a month for unlimited packets and up to 4 doctors, plus $75 a month for each extra doctor and Texas sales tax. Stop any time.