ClaimSage generates a professional, state-specific appeal letter — citing statutes, deadlines, and denial codes — in under 60 seconds. Nothing today. Nothing if your appeal loses. $249, and only $249, if your insurer reverses the denial or approves the previously denied claim.
No catch, no contingency percentage. A flat $249 if your appeal wins.
Upload your denial or describe what happened. Get your letter in seconds.
If your insurer reverses the denial or approves coverage for what was previously denied, we charge a flat $249 — a fixed amount, not a percentage.
Compare to an attorney: typical hourly rate of $250–$500+ with no win guarantee → See full comparison
Upload your denial notice or paste a description of what happened. Include your claim number, denial reason, and date if you have them. Takes under 2 minutes.
ClaimSage's AI generates a formal appeal letter tailored to your state — citing relevant statutes, regulatory bodies, deadlines, and your specific denial code.
Download, edit, and mail your letter via certified mail. We'll check in at 45 days. Only if you confirm your insurer approved or reversed the denial do we send a single $249 payment link. If your appeal didn't succeed, you owe nothing — ever.
"We saved over $1,400 by avoiding the broker commission on QSEHRA setup. The platform walked us through everything — employee eligibility, reimbursement limits, IRS forms. Set up in under 20 minutes."
"We'd been reimburse employees manually for months — messy spreadsheets, missed deadlines. ClaimSage's QSEHRA calculator showed us exactly where we were overspending. First reimbursement processed cleanly within 3 days."
"I dreaded switching to QSEHRA because I thought it meant rebuilding our entire benefits workflow. The onboarding guide made it so straightforward — we had all 12 employees set up and submitting claims by end of day."
"Our benefits broker couldn't get above 60% adoption on the old plan. After switching to QSEHRA using ClaimSage's tools, we hit 94% within 60 days — employees actually like the flexibility now."
The appeals process is designed to favor insurers who know the system. ClaimSage flips that — with a letter that knows your state's rules too.
Generate My Appeal Letter Free →If your claim involves a complex denial, a high-dollar amount, or you simply want legal counsel on your specific situation, your state's official Lawyer Referral Service is a bar-run starting point. ClaimSage doesn't recommend any specific attorney — we just shorten the path.
Find a NY / CA / MA referral →Referral facilitation only — not legal advice. ClaimSage isn't a law firm.
Three common denials, three real out-of-pocket numbers — what patients pay when an insurer denies, downcodes, or refuses prior authorization. Every figure below carries its source. See typical prices →
Out-of-network or post-stabilization denials shift the full ER facility + physician fee onto the patient. With a successful appeal, the insurer pays the allowed amount instead.
Source: CMS Hospital Price Transparency machine-readable files (cms.gov/price-transparency), national median ER level-3/4 facility fees; FAIR Health Consumer ER cost benchmarks (fairhealthconsumer.org).MRIs denied for lack of prior authorization are routinely fully patient-billed. Reversing the denial on first appeal is the single biggest dollar win in our user data.
Source: CMS Physician Fee Schedule lookup for CPT 70553 (brain MRI w/ contrast), national non-facility price ranges; Turquoise Health MRF aggregates for top-50 US hospitals.Insurers routinely downcode 99215 to 99213 — a ~$80 per-visit underpayment. Across a year of complex follow-ups, that's hundreds left on the table even when the insurer "paid."
Source: AMA National Health Insurer Report Card (ama-assn.org) — downcoding audit findings, peer-reviewed in Health Affairs 2023; CMS PFS RVU differential between 99213 and 99215.Figures are national medians / published aggregates — what you owe depends on your plan's deductible, coinsurance, and network status. Confirm with your insurer's allowed-amount lookup before scheduling.
Generate your free appeal letter now. If your appeal succeeds (denial reversed or coverage approved), we send one $249 payment link after you confirm. Otherwise, nothing — there is no charge today and there will never be a recurring fee.
Generate My Appeal Letter Free →50+ states supported · State-specific statute citations · ~60 seconds to generate