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What are you holding?

My care or stay is ending
A denial letter
An Explanation of Benefits
A bill I did not expect
A pharmacy said no
A prior authorization was refused or is stuck
My appeal was denied

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Understand your denial

All of Understand your denial Read your denial letter Read your Explanation of Benefits Work out whether it is really a denial Find the real reason Find out what kind of coverage you have Know your deadlines

Build your case

All of Build your case Get your claim file and plan documents Get your medical records and itemized bill Work with your doctor Find the rules and evidence that support you Write your appeal Keep a paper trail

Appeal

All of Appeal Fix it without an appeal File an internal appeal Get a fast decision when health is at risk Request an independent external review Complain to a regulator After a final denial

Your coverage

All of Your coverage Job-based plans Marketplace and individual plans Medicare, Medicare Advantage and drug plans Medicaid and children's coverage Military, veteran and federal employee coverage Student, short-term and other coverage

What was denied

All of What was denied Prior authorization and pre-approval Prescription drugs Out-of-network and emergency care Mental health and substance use care Treatments, tests and equipment Billing, coding and paperwork

Bills and help

All of Bills and help Handle the bill while you appeal Get a hospital bill reduced Deal with medical debt and collections Find free help Decide whether to pay for help Help someone else with their denial

Also

All guides
Glossary

1Understand 2Build your case 3Appeal Your coverage What was denied Bills and help

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