$0 upfront.
Apellica was built for the moment a denial letter lands and nobody knows what to do next. A senior reviewer reads your file, helps organize the records, and walks you through a structured appeal in plain language — with no upfront cost to get started.
The standards we run on.
Four operating commitments that govern every matter Apellica handles, from the first intake through written carrier determination.
Senior reviewer on every matter
No appeal leaves Apellica without sign off from a senior reviewer. Junior staff prepare. Senior reviewers decide.
Defined workflow on every appeal
Each matter moves through the same five stages with explicit owners, deadlines, and a written audit trail.
Honest math on outcomes
Apellica reverses 85% of the appeals we prepare. Industry baseline is 41% per KFF. We never guarantee a specific outcome.
Plain language at every step
We translate carrier letters and federal regulations into language clients can act on. No legal jargon. No medical jargon.
From intake to determination.
The same defined process moves every appeal from the letter on the kitchen counter to a written determination from the carrier.
Encrypted submission. Acknowledged within one business day. We confirm carrier, plan type, denial category, and the controlling appeal deadline.
A senior reviewer reads the matter, identifies the denial code, and maps the available appeal levers.
Medical record organized. Appeal letter drafted, reviewed, and finalized. Letter of medical necessity coordinated.
Filed with the carrier. Peer to peer reviews scheduled where applicable. Status updates every five business days.
Written determination delivered with a plain language summary and, where applicable, the next stage options.
Send your denial. A senior reviewer takes your case within the hour.
Free review. $0 upfront for qualifying cases. You pay nothing if we don't win.