How does the 15% success fee work?

You pay 15% of the approved claim amount only when your appeal succeeds. If we lose, you pay $0. Zero upfront costs, zero hidden fees.

How long does an insurance appeal take?

Our AI generates your appeal in 90 seconds. Insurers must respond within 30 days for standard appeals and 72 hours for urgent cases under 2026 CMS regulations.

What types of insurance denials can ApproveIt appeal?

We handle all common denial types: medical necessity denials, prior authorization denials, experimental treatment denials, step therapy requirements, out-of-network denials, and missing information denials.

Is my medical data safe with ApproveIt?

Yes. We maintain full HIPAA compliance with AES-256 encryption at rest, TLS 1.3 in transit, and Row Level Security. Documents are automatically deleted after 90 days. We never sell patient data.

What if my appeal gets denied a second time?

We automatically escalate to your state's Insurance Commissioner and pursue an independent external review — both included at no additional cost.

Is this legal? Are you a law firm?

We are a licensed healthcare advocacy firm, not a law firm. Healthcare advocacy and billing appeals are a distinct regulated practice. We partner with attorneys for legal escalations.

How do you protect my health information?

All data is encrypted with AES-256 at rest and in transit. We are fully HIPAA-compliant and sign a Business Associate Agreement (BAA) with every provider client.

Which insurers do you appeal against?

All major commercial payers: UnitedHealthcare, Aetna, Cigna, Anthem BCBS, Humana, Blue Shield. We also handle Medicare Advantage and Medicaid managed care denials.

How long does an appeal take?

Federal law requires urgent appeals to be decided within 72 hours (2026 CMS rule). Standard appeals take 30–60 days. We track every deadline automatically.

Can I use this for prior authorization, not just denials?

Yes. We handle both prior authorization appeals and post-service claim denials. Upload either document type at signup.

Do you work with individual patients or only providers?

Both. Individual patients upload their denial letter directly. Clinics and hospitals use our bulk upload dashboard or EHR API sync.

⚡ 2026 CMS RULE: Insurers must respond to urgent prior auth appeals within 72 hours

AI-Powered Insurance Appeals

Insurance Denied You. We Fight Back.

Upload your denial letter. Our AI builds your appeal in 90 seconds. You pay nothing unless we win.

Fight My Denial — Free

✓$0 upfront✓Pay only if you win✓We track your deadline automatically

🔒 HIPAA Compliant · No credit card required · Built in Nepal 🇳🇵

Advocating for patients across all 50 states · HIPAA Compliant · CMS Compliant

SAMPLE ONLY

📄 Draft Appeal Letter Preview

Re: Prior Authorization Appeal

Patient: Sarah J. · Insurer: UnitedHealthcare
CPT: 27447 (Knee Joint Reconstruction)
Claimed: $67,000.00

Dear Medical Director,

On behalf of the provider, we are writing to appeal the medical necessity denial. Clinical documentation demonstrates that the patient meets MCG Health Care Guidelines (28th Edition, Orthopedics, O-210) based on primary osteoarthritis, radiographic narrowing (CPT 27447), and failed conservative therapy...

www.approvelt.com/dashboard/patient🟢 ACTIVE

Active Case Progress

✓ Ingestion Complete

✓ Code & Guideline Extraction

✓ Letter Draft Complete

Preparing Submission Instructions...

Win Probability📈 83% Chance

Appeal In Progress — ApproveIt AI

Knee Joint Reconstruction

CPT 27447 · Claimed Amount: $67,000

Preparing Dossier75% Complete

Win Probability: 83%Letter Ready to Submit

Meet the founders 🇳🇵

Two guys from Nepal. Building for 73 million Americans.

Prince & Rabindra · Co-founders · ApproveIt 🇳🇵

$21M

Average hospital annual loss

83%

Appeals win rate when filed

What you pay if we lose

THE PROCESS

How It Works

Upload once. AI does everything else.

Upload Your Denial

Drag-drop your denial letter. PDF, photo, or screenshot — it takes 30 seconds.

AI Builds Your Case

Our AI analyzes your denial, researches clinical guidelines, and writes a professional appeal in 90 seconds.

We Fight & Win

Your appeal letter is ready in 90 seconds. Submit it to your insurer’s portal in minutes — we track your deadline 24/7 and escalate if they don’t respond in time.

OUR STORY

Built by founders who refused to quit 🇳🇵

Prince

Co-founder & CEO

🤝

Rabindra

Co-founder & CTO

We're Prince and Rabindra, two founders building from Nepal who watched friends and family in America get crushed by insurance denials. We saw people give up — not because they were wrong, but because the system was designed to exhaust them.

We built ApproveIt because we believe no one should lose their healthcare because they couldn't navigate a 47-page appeals process. Our AI reads every denial, researches every guideline, and writes every appeal — so you don't have to.

We charge nothing unless we win. That's not a gimmick — it's how we sleep at night.

🇳🇵 Two founders from Nepal 🇳🇵Fighting for patients across all 50 states

🇳🇵

Why are two Nepali founders fixing American healthcare?

Because the best solutions come from people who see problems clearly — without being too close to the system to question it.

We saw Americans losing thousands to wrongful denials. We saw a system designed to exhaust people into giving up. We built the solution nobody inside the system would build.

From Nepal. For America. 🇳🇵

Why ApproveIt Wins

⚖️

83% Win Rate

Of properly filed prior authorization appeals succeed. Most people never try.

⚡

90-Second Cases

AI reads your denial, researches guidelines, and writes the appeal in under 90 seconds.

🔒

Zero Risk

You pay 15% only when your appeal is approved. If we lose, you pay absolutely nothing.

EARLY ACCESS

Be One of Our First 10 Cases

🔥 We're looking for 10 beta users with real insurance denials to launch with. You get our full AI appeal service completely free during the pilot — and you pay nothing unless we win.

Apply for Beta →

✓ No credit card required · ✓ $0 unless we win · ✓ HIPAA compliant

Simple, Success-Based Pricing

You pay only when we win. That's it.

Patient

15%

of approved amount

$0 if we lose

✓Unlimited prior authorization appeals
✓2026 CMS-compliant electronic submission
✓Legal deadline tracking & reminders
✓Auto-escalation to State Commissioner
✓FDA & clinical guidelines search
✓Pay ONLY when your appeal wins

Clinic

12%

of approved amount

$0 if we lose

✓All Patient features included
✓Multi-patient management dashboard
✓EHR bulk upload (CSV exports)
✓Clinical necessity review logs
✓Proactive denial pattern analytics
✓Dedicated support team access

Hospital

8–10%

of approved amount

$0 if we lose

✓All Clinic features included
✓EHR integration roadmap (Epic, Cerner, AthenaHealth)
✓Unlimited parallel AI case processing
✓CFO Monday Morning Recovery Reports
✓Dedicated account manager & BAA
✓Custom volume rates (Net-30 billing)

View Full Pricing Details →

How It Works

The Technology Behind Every Win

⚙️

Clinical AI Engine

Extracts ICD-10 and CPT codes from your denial letter. Cross-references AMA guidelines, FDA approvals, and CMS coverage policies to build your strongest possible case.

Claude Sonnet 4.6

📋

Professional Appeal Letter

Generates a complete medico-legal appeal letter citing specific clinical guidelines, your insurer's own coverage policy, and applicable state law protections.

AI-Generated · Patient Reviews

🛡️

Automated Escalation

Monitors insurer response deadlines 24/7. If they miss their legally required response window, automatically generates state commissioner complaints.

CMS Compliant

ApproveIt is a document automation platform. AI-generated letters are for patient review. This is not legal advice. Patients are encouraged to have their physician review all documentation before submission.

COMMON QUESTIONS

Frequently Asked Questions

Everything you need to know about how we fight and win appeals.

We send you an invoice only after your insurer has approved and paid the claim. You pay us from the recovered funds — never out of pocket.

No. We only need your denial letter and any supporting documents your provider gave you. We never request records beyond what's necessary to build your appeal.

You pay nothing. Zero. We absorb the cost of preparing and filing the appeal. If we lose, the case closes at no charge.

Learn How to Fight Back

Free guides to understanding your appeal rights

7 min read

Prior Authorization Denied? Here’s Exactly What To Do Next

Your prior authorization was denied — here’s exactly what to do in the next 24 hours and your legal rights under the 2026 CMS mandate.

8 min read

How to Write an Insurance Appeal Letter That Insurers Actually Respond To

Step-by-step guide to writing an insurance appeal letter that cites the right clinical guidelines. Includes a free template.

7 min read

Insurance Denied as “Not Medically Necessary”? Here’s How to Fight It

The most common and most winnable insurance denial reason. Here’s exactly how to appeal it.

Ready to Fight Back?

Be one of the first to fight back. We're launching with a free pilot — your case could be the first we win.

Start Your Fight — Free

✓ No charge until we win · ✓ 83% win rate · ✓ HIPAA compliant

HIPAAAMA-ReferencedCMS CompliantE-Submit256-bit AES

🔒HIPAA Secure · CMS Compliant · 256-bit EncryptedApproveIt is a document automation platform and does not provide medical or legal advice.