How it works

A clear path, in five steps.

We help patients organize, prepare, and submit stronger health insurance appeals. Here is exactly what happens, from the moment you begin your file.

01

Start Your Appeal

Two-minute micro intake. basic contact details, what was denied, and your deadline urgency. We save your file the moment you submit. No documents required at this stage.

Start Your Appeal
02

Receive a written assessment

A senior reviewer reads your file and replies by email, usually the same business day. The assessment names the appeal options, the evidence we will need, and the recommended next step. No obligation, no fee for the assessment.

03

Choose a support option

Most patients begin with Guided Appeal Support — $0 upfront, with a fixed $59 success fee only if coverage is approved. Express and Concierge are also available. Pricing is shown clearly before any commitment.

04

We prepare and organize the appeal

The appeal letter is drafted and reviewed. Supporting records are organized. Submission instructions are written down step by step so the carrier receives a complete, well-structured packet.

05

We track the carrier and follow up

Status updates every five business days. We escalate to peer-to-peer review or external review when the carrier stalls or denies. Most cases resolve in 30.60 days from filing.

Standards of service

The standards we hold ourselves to.

  • A senior reviewer reads every submission. Not a chatbot, not a contractor.
  • Pricing is disclosed in writing before any work begins.
  • Guided Appeal Support is available with $0 upfront. A fixed $59 success fee applies only if coverage is approved.
  • Documents are encrypted in transit and treated under our HIPAA-aligned program.
  • We will tell you clearly when an appeal is unlikely to be productive.
  • No upsells, no marketing emails, no pressure.
Important — please read
  • Apellica is not a law firm and does not provide legal advice. Apellica does not provide medical advice. Apellica is not an insurer or a health-care provider.
  • We help patients organize, prepare, and submit stronger health insurance appeals. We do not guarantee approval or any specific outcome on any case. Outcomes depend on policy language, deadlines, documentation, and the carrier's rules.
  • You remain responsible for tracking your appeal deadlines unless and until Apellica formally accepts your case in writing. For urgent medical decisions, consult a licensed provider.
  • Information you submit may include Protected Health Information (PHI). We treat it under our security & HIPAA program and privacy policy.
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