Authorized representative helper
See what permission you need to act for someone else and build the letter that names you.
- Private: nothing leaves this tab
- General information, not legal advice
What it asks, and what it is not
What it asks. Who is helping whom, and with what kind of coverage.
Everything you type stays in this browser tab. Nothing is sent anywhere, and no account is needed.
What it is not. Plans and programs often have their own form. This tells you which to ask for and gives you a letter to use meanwhile.
Choose one above and the letter appears here.
- Private: nothing leaves this tab
- General information, not legal advice
What it asks, and what it is not
What it asks. Who is helping whom, and with what kind of coverage.
Everything you type stays in this browser tab. Nothing is sent anywhere, and no account is needed.
What it is not. Plans and programs often have their own form. This tells you which to ask for and gives you a letter to use meanwhile.
Related guides and checklists
- Guide
Acting for someone else
You can usually help a parent, partner or adult child with a denial if they give written permission. Here is how to name a representative with plans, Medicare and Medicaid, and what this page does not cover.
- Guide
For clinicians' offices: supporting a patient's appeal
A short guide for doctors and office staff. Learn when to ask for a peer-to-peer call, which letters to write, how to certify urgency, and what the patient needs to file their own appeal.