How much does it actually cost to appeal a denied claim?

See a side-by-side comparison of every option — from DIY to attorneys — before you decide.

$0

How much was the denied claim for (billed amount)

Patient advocates typically spend 1–3 hours per case

Patient advocates: $75–$150/hr typical. Health attorneys: $200–$400/hr.

Your options compared

Option Description Estimated Cost

Your appeal letter — free to generate

ClaimSage generates a state-specific appeal letter at no upfront cost. $249 only if your appeal wins.

Generate Your Free Appeal Letter →

How the ClaimSage model works

1

Generate free

Upload your denial details. Get a formal appeal letter — citing your state's statutes — in under 30 seconds.

2

Submit your appeal

Send the letter by certified mail to your insurer. We follow up by email at 30 and 45 days.

3

If you win

At 45 days, we check in: did your appeal win? If yes, ClaimSage charges a $249 flat fee.

4

If you lose

You owe nothing. We don't get paid unless you win — that's the guarantee.

Common questions

Why is ClaimSage $249 when DIY is free?
DIY is genuinely free — and if you have the time and know what you're doing, it can work. ClaimSage's value is in having a properly formatted, state-specific letter that cites the right statutes and regulatory bodies. That level of precision is what gets attention from insurers. A generic letter often gets ignored; a legally-grounded one often gets a response.
What if I already filed an appeal without using ClaimSage?
The $249 success fee only applies to appeals generated through ClaimSage. If you used a different letter or your attorney wrote it, you're not charged. The fee is tied to the specific letter generation service.
Is $249 a percentage of what I recover?
No. The $249 is a flat service fee — it has nothing to do with the dollar amount of your claim or any recovery. You're not paying a "success fee" as a percentage of a recovery; you're paying for the service of generating a professional appeal letter. The fee is the same whether your claim is $1,000 or $100,000.
What's the difference between a patient advocate and an attorney?
Patient advocates help with paperwork, calls, and navigation — but can't represent you in legal proceedings. Health law attorneys can file legal challenges, represent you in hearings, and are licensed to practice law. For most denied claims, a well-formatted appeal letter resolves the issue without either. ClaimSage sits between DIY and hiring an attorney — structured, professional, without the legal overhead.
How does ClaimSage know if I won?
At 45 days after generating your letter, we'll email you to ask: did your appeal win? You'll tell us — upload an insurer letter, EOB showing payment, or a written description. We take your word for it. There's no formal adjudication process. The model is trust-based.
What if I'm still fighting — haven't heard back yet?
At 60 days, if you tell us you're still fighting, we extend the follow-up. We'll check in again later. You only get charged $249 when you confirm a win.