Appeal Management

Appeal Management is your path to never having to deal directly with the insurance company again throughout the appeal process. We’ll keep you informed and involved as we take charge of:

  • All communications with the insurance company.
  • Making collection of medical records and additional evidence as easy as possible.
  • Writing and submitting the appeal letter and supporting evidence.
  • Following up with the insurance company as they review the appeal.
  • Planning with you for what comes next after the appeal, win or lose.

How It Works

Put us in charge of the appeal, and Insurance Appeal Consultants will step in as your designated representative with the insurance company. You’ll still need to work with your doctors to gather evidence to support your claim, but we will:

  • Write to the insurance company, instructing them to contact us directly about your appeal.
  • Order your claim file and review it to ensure there are no missing medical records or other surprises.
  • Write a letter for you to give to your doctor(s) explaining exactly what you need from them for the appeal.
  • Give you the form you’ll need to request your medical records from your doctors, and keep track of new records as they are received.
  • Give you a letter to send to your Plan Sponsor requesting a copy of your insurance policy and any other plan documents.
  • Interview you to develop a personal statement fully explaining the context for your claim.
  • Write the appeal letter, organize all your supporting evidence, and submit the appeal on time to the insurance company.
  • Keep you in the loop about any correspondence from the insurance company as they review the appeal, and discuss the appropriate response(s) with you.
  • Discuss your next steps after the appeal decision.
  • For disability claims, if you win the appeal you can choose to have us remain as your designated representative with the insurance company for an annual fee. 

Cost

Appeal Management is $3,995 after a paid Disability Appeal Planning Session. If you first paid for any additional Appeal Coaching services, we will credit those amounts towards Appeal Management. 

Want us to continue to act as your Authorized Representative while you remain on claim? Post-Appeal Management for insurance company claim updates is $495 annually. That includes our assistance with any update requests that the insurance company sends during the year.