Denial reason finder
Match the wording on your letter to a denial reason, see who must act first, and open the right playbook.
- Private: nothing leaves this tab
- General information, not legal advice
What it asks, and what it is not
What it asks. Words or phrases from your letter or statement.
Everything you type stays in this browser tab. Nothing is sent anywhere, and no account is needed.
What it is not. It suggests the closest reason. If the letter is unclear, the plan must tell you the specific reason when you ask.
Answer the questions
Loading the questions…
- Private: nothing leaves this tab
- General information, not legal advice
What it asks, and what it is not
What it asks. Words or phrases from your letter or statement.
Everything you type stays in this browser tab. Nothing is sent anywhere, and no account is needed.
What it is not. It suggests the closest reason. If the letter is unclear, the plan must tell you the specific reason when you ask.
Related guides and checklists
- Guide
The three families of denial reason
Almost every denial reason falls into one of three families: paperwork, coverage or clinical. Knowing which one you have tells you who acts first and what evidence helps.
- Guide
Whose job is it to fix this
Work out who must act first on a denial: you, your provider, the plan, or you and your provider together. Then learn how to get the right person moving.