Evidence checklist builder
Get a tailored list of the documents that answer your denial reason, and who holds each one.
- Private: nothing leaves this tab
- General information, not legal advice
What it asks, and what it is not
What it asks. Your denial reason and the kind of care.
Everything you type stays in this browser tab. Nothing is sent anywhere, and no account is needed.
What it is not. It lists what usually helps. Your plan's own criteria decide what it needs to see.
Answer the questions
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- Private: nothing leaves this tab
- General information, not legal advice
What it asks, and what it is not
What it asks. Your denial reason and the kind of care.
Everything you type stays in this browser tab. Nothing is sent anywhere, and no account is needed.
What it is not. It lists what usually helps. Your plan's own criteria decide what it needs to see.
Related guides and checklists
- Guide
How to find clinical guidelines and studies
Work with your doctor to find the guidelines and studies that back your treatment, and use them to answer the plan's reason. Covers experimental denials, past review decisions and how to cite evidence.
- Guide
How to find the insurer's medical policy for your treatment
Ask for the clinical rule your plan used to deny your care, find out which version applied, and check it against your records. Covers what a denial notice must say and what you can request for free.
- Guide
Using your plan's own words
Quote the plan's own definitions, exclusions and criteria back to it in your appeal. Covers where to find them, how to quote them accurately, and what to do when the plan's documents work against you.