The Process

From denial to resolution —
here's exactly how it works

Five clear steps. Fully automated. You upload once — we handle everything else.

01

Upload your denial letter

Simply drag and drop your denial letter — PDF, JPG, or PNG. Our system immediately reads the document, extracts the denial code, insurer details, provider info, and the exact stated reason for denial.

Supported: Explanation of Benefits (EOB), denial notices, pre-auth rejections
02

AI reads your policy and finds the error

Our AI cross-references your denial against your specific insurance policy language, 10,000+ precedent cases, and state-level appeal regulations. It pinpoints the exact clause your insurer misapplied — often within seconds.

We analyze: billing codes, medical necessity criteria, coverage exclusions, and policy definitions
03

A formal appeal letter is drafted

Using the identified error, our AI generates a professional, legally precise appeal letter that cites your policy by page and section, references applicable medical literature, and is structured exactly as insurers require.

Your letter is reviewed for tone, completeness, and compliance before submission
04

We submit it to the insurer's portal

ClaimAdvocate submits the appeal directly to your insurer's official appeals portal or address, with full certification of delivery. You receive a confirmation and tracking number instantly.

We support all major US insurers: Aetna, UHC, BCBS, Cigna, Humana, and more
05

We follow up every 72 hours until they respond

Insurers have legally mandated response timelines — and we hold them to it. Every 72 hours, our system sends a follow-up, escalates to supervisory queues if unanswered, and keeps a timestamped log of every action.

You get notified at every step. No more waiting and wondering.

Ready to start your appeal?

Upload your denial letter now. It takes less than 60 seconds.

Start My Appeal

No credit card · HIPAA compliant · Results in minutes