Insurance AppealBuilder™ |

About this tool

Insurance denials often feel final, leaving patients without treatment, tests, or medications they need. AppealBuilder simplifies the process of fighting back by guiding you through the elements of a strong, evidence-based appeal. By working with structured prompts about your medical need, prior treatment, and plan requirements, you assemble a professional appeal that speaks the insurer’s language. You receive a ready-to-send letter that improves your chances of overturning denials and gaining access to covered care.

Step 1 of 5: Basic Information

Your Full Name

Your Street Address

Your City, State ZIP

Insurance Company Name

Insurance Company Address

Insurance Company City, State ZIP

Member ID

Claim Number

Step 2 of 5: Denial Details

Date of Denial

Treatment/Service Denied

Reason for Denial

Step 3 of 5: Medical Information

Primary Diagnosis

Doctor’s Name

Why This Treatment Is Necessary

Step 4 of 5: Supporting Evidence

Previous Treatments Tried

Impact on Your Life

Estimated Out-of-Pocket Cost if Denied (Optional)

Supporting Research (Optional)

Study Title

Journal & Year

Key Finding

Step 5 of 5: Review

Review your information and generate your appeal letter.

Your Appeal Letter

Our tools are provided for self-advocacy purposes only. Results do not constitute medical advice, diagnosis, or treatment, and are not a substitute for professional medical judgment. Use of this tool does not create a client relationship with PatientLead Health LLC. PatientLead Health LLC is not responsible for any outcomes, decisions, or actions taken based on the use of this tool.