4.2k

Members sharing experiences

80%

Overall appeal success rate

$240k

In benefits recovered

James M.

California · 2 days ago

✓ Won
OrthopedicMRI

Molina denied my knee MRI. I submitted the appeal with medical necessity statement.

Strategy used

Focused on the clinical evidence supporting the imaging study.

Sarah L.

Texas · 1 week ago

⏳ Pending
CardiologyProcedure

Aetna said no to my cardiac catheterization. Following up now.

Strategy used

Waiting for peer-to-peer review request.

Michael T.

New York · 2 weeks ago

✓ Won
NeurologyMRI

UnitedHealthcare denied my brain MRI for headaches. Appeal successful!

Strategy used

Provided neurology consultation notes and headache frequency data.

Jessica R.

Florida · 3 weeks ago

✗ Denied
Physical TherapySessions

Anthem denied additional PT sessions. Considering next steps.

Strategy used

Escalated to medical director for independent review.

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