US Insurance Denials

Insurance claim denied?
Before you pay out of pocket — make sure your insurer got it right.

Your insurer said no. Before you accept the denial, understand exactly why — and whether it deserves a closer review.

An insurance denial doesn't always mean the treatment wasn't covered.

Sometimes it means the insurer wants more information.
Sometimes it means a code was applied incorrectly.
Sometimes it means an appeal is all that's needed.

The denial letter doesn't always make that clear.

⚠ Appeal deadlines are often shorter than people expect. Check your denial letter carefully — the window to respond may already be running.

Review my denial free
Free first overviewUpload your denial and receive a plain-language explanation of what the insurer is actually saying.
No subscriptionOne denial, one review. The full analysis is $79 if useful — nothing ongoing.
No obligationThe free overview comes first. You decide whether to proceed.

Why people upload their denial letter

  • The denial reason isn't clear.
  • The insurer says the treatment wasn't covered.
  • A claim that should have been covered was denied.
  • The denial references codes or policy terms that are difficult to understand.
  • The bill is too large to simply accept without understanding what happened.
  • The appeal deadline is approaching.

Most people upload because they have one simple question:
"Am I about to pay a bill my insurance should have covered?"

Free overview
Before you accept the denial — understand what it actually says.

Upload your denial letter. We'll explain the stated reason, identify anything worth questioning, and tell you whether the denial appears straightforward or may deserve closer review before you pay out of pocket.

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Your free overview is being prepared. You'll receive it by email by the next working day before 4pm.
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Full analysis + response letter

After your free overview, a full written analysis and ready-to-send appeal letter is available for $79 — one time. The full analysis often costs less than a single denied appointment. And it answers the one question most people have before they pay out of pocket.

Common questions

The first overview is free — you upload your letter, we explain what the denial means and flag anything worth questioning. No payment required. If you want the full written analysis and a ready-to-send appeal letter after reading the overview, that's a one-time fee of $79. No subscription. No hidden charges.
Denial codes vary by insurer but common ones include CO-97 (bundled service), CO-4 (inconsistent modifier), PR-1 (deductible not met), and many others. The free overview explains what your specific code means in plain English.
Yes — most denied claims can be appealed internally through your insurer first. If that fails, you may have the right to an independent external review. Timeline and process depend on your state and plan type.
Coverage denials are sometimes based on a misclassification of the service or a missing prior authorization. These are worth reviewing carefully before accepting the denial.
Appeal deadlines vary by plan, insurer, and state — and are often shorter than people expect. The deadline is usually stated in your denial letter. Don't assume you have time; check the letter as soon as you receive it.
No. DoIPayThat provides plain-language document overviews and response guidance. Not legal advice, not legal representation.

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DoIPayThat provides plain-language document overviews and response guidance. Not legal advice. Not medical advice. Not legal representation. © 2026 DoIPayThat