Win more appeals with fewer headaches

Claimable's AI-powered appeals empower patients, reduce time navigating insurer systems, and get more people covered.
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Secure and seamless

Empower your patients to overcome unjust denials

Using Claimable is like having your own team of insurance experts advocating on behalf of you and your patients.

Why PATIENT APPEALS?

A powerful tool in your appeals kit

Your patients have appeal rights most never use.

850 million claims are denied annually, but fewer than 1% of patients ever appeal. Not because appeals don't work, but because most patients don't know they can.

Patient appeals carry legal protections provider appeals don't, including mandated response timelines and external review rights. Their appeal doesn't replace yours – it amplifies it. Two appeals create pressure from two directions, and more opportunity to win.

Claimable gives your patients everything they need to file a strong, evidence-backed appeal on their own. More chances to get covered with less paperwork and headache for both of you.

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Personalized. Robust. Fast.

Every patient is unique, so are our appeals.

Claimable’s AI-powered appeals start with your patient’s medical story and analyzes the most relevant clinical research, policy details, and legal precedents to generate truly tailored appeals - giving your patients the best chance at overturning unjust denials with less delays.

How Claimable works for patients

The Claimable experience is fast, intuitive, and fully guided, making it easy for patients to complete.

01
They answer simple questions
No legal jargon, no guesswork. Claimable walks patients through tailored questions on their health situation, treatment history, and the impact of the denial on their daily life.
02
We build their custom appeal
Our platform analyzes over 5 million datapoints to build an appeal specific to that patient's case. They can include key supporting evidence from you, like an LOMN or chart notes.
03
They review and approve
The patient reviews their appeal letter and can make any changes before it's sent. If they'd like to, they can share it with you before they submit it.
04
Submit & support
We identify the right decision-makers and deliver the appeal via fax and first-class mail. Claimable's team is here to support – including what to do if the appeal is initially denied.

Real patients. Real impact.

Restarting Cancer Care

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Overturning a nine-month denial to resume life-saving cancer care
Condition
ICI-induced Inflammatory Arthritis
Treatment
Infliximab
Denial Reason
Not medically necessary
Denial History
Lost 3 prior appeals
This patient developed severe inflammatory arthritis as a side effect of her cancer treatment – leaving her unable to walk up stairs or care for her children. Despite recommendations from four board-certified specialists and clear support in national oncology guidelines, Premera denied coverage three times over nine months, each time citing a different reason.

Claimable prepared a 23-page appeal exposing the contradictory reasoning and detailing the clinical justifications, sending directly to Premera's executive teams alongside state and federal regulators. The appeal was approved in 48 hours: Saving her $6,000 per infusion, restoring her mobility, and preserving her ability to continue cancer treatment.
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5.0

Reviews on Google

When my doctor and I decided that Zepbound was the right path for my health, we hit a massive wall: my insurance company. They had a strict policy of not covering GLP-1 medications for anyone without a diabetes diagnosis, regardless of their weight or other health factors. I was devastated because, without insurance, this medication is financially out of reach for most people. That’s when I found Claimable.

When I took the completed appeal to my doctor, she was stunned. She told me she had never seen an appeal written so thoroughly. Because of this, I won my appeal! This decision is going to save me thousands of dollars, but more importantly, it is going to help my health in a profound way. My doctor was so impressed that she plans on referring other patients to Claimable.
– Jeremiah C

IVIG Coverage for PANS Patient

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Lifesaving Gammagard therapy approved after 5 months of denials
Condition
Pediatric Autoimmune Neuropsychiatric Syndrome (PANS)
Treatment
Gammagard IVIG
Denial Reason
Not medically necessary
Denial History
Denied on new plan
After eight years of insurer-approved IVIG therapy successfully managing her son's PANS diagnosis, this family's new insurance plan abruptly denied coverage – claiming the treatment was investigational despite clear evidence of its effectiveness. The family had exhausted every other avenue when they found Claimable.

Claimable guided the family through a personalized appeal that documented years of proven medical necessity, highlighted regressions after treatment stopped, and invoked policy inconsistencies and ERISA protections. The appeal was approved within days, resuming the only treatment that had meaningfully helped.
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5.0

Reviews on Google

Claimable is nothing short of phenomenal! My doctor and I have been trying different medications for years, trying to control my asthma, with no success. We eventually discovered that Dupixent was helping me. Just when my test results started to show improvement, my insurance company decided to not cover it! After several appeals were denied, I reached out to Claimable... Within days my denial was overturned and I'm now receiving the medication I so desperately need. This would not have been possible without Claimable. Thank you Warris!!!
– Kelly M

John's Remicade Approval

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After a denial caused a 123-day care gap, approved with Claimable in just 10 days
Condition
Ankylosing Spondylitis
Treatment
Remicade
Denial Reason
Not medically necessary
Denial History
Lost 4 prior appeals
When his new insurance plan refused to renew his biologic infusion treatment and demanded he restart a lengthy step therapy process, John went four months without critical medication – resulting in severe pain, difficulty working, and social isolation. His rheumatologist's 16 calls and multiple prior authorization requests went nowhere.

Referred to Claimable, he generated and submitted a patient appeal in a single day, leveraging step therapy exemption laws and requesting an expedited 72-hour review. The appeal was approved in 10 days, ending months of unnecessary suffering and saving him $12,000 per infusion.
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5.0

Reviews on Google

Claimable is AMAZING. I tried for 6 months to get a medication approved that was prescribed by my cardiologist. My cardiologist had written letters, resubmitted, filled out preauthorization information twice, and still no approval. I met all the criteria for the medication, and it was still denied. I contacted Claimable.........The letter they wrote for me was submitted, and I had approval in 8 days. Like I said, AMAZING. It was worth every cent I paid. My cardiologist was VERY impressed with the service offered by Claimable. I very much appreciate all the help I received from Claimable.
– P C
HOW WE WORK WITH PROVIDERS

However you practice, appeal with Claimable

Claimable is designed to complement your existing workflows – not replace them. How you engage depends on your practice setting:

For independent practices appealing on their own

You don't need a contract, a portal, or a new workflow. Simply share our easy-to-use materials with your patients to help them appeal on their own.

Request your patient referral kit below: Templates, flyers, and appeals education for everything patients need to get started.
REQUEST REFERRAL KIT

For providers practicing in health systems

For larger organizations, Claimable offers enterprise partnerships with access to our support team platform — a centralized tool to refer patients, support appeals, and track outcomes across your system.

If you're a provider within a health system interested in Claimable, learn more here.
For Health Systems

If you partner with a hub or support program

Claimable integrates with hubs, specialty pharmacies and manufacturer support programs to help patients appeal.

If you already work with one of these partners, contact us to learn how your patients could use Claimable through existing access networks.
GET IN TOUCH
Claimable’s AI-driven approach is a game changer for patients who have been unfairly denied care. It gives them a fighting chance to overturn these decisions and get the right coverage for the right treatment.”
Julie Baak
Practice Manager & Patient Advocate
Arthritis Center, Bridgeton, Missouri

Frequently Asked Questions

You have questions, we have answers.

Don't see your question? Contact us.

No, a patient appeal does not replace your provider appeal or letter of medical necessity. In fact, the two work best together. Patient appeals are most effective when supported by a provider’s letter of medical necessity and actively promoted by the provider to their insurance contacts. We believe appeals are a team effort. Patients have legal appeal protections that can increase their chances of success, minimize delays, and reduce the burden for providers. Patients can continue appealing even if a provider’s appeal has been denied or ignored, and they often can escalate to external, independent reviewers if needed.

When discussing the option of submitting a patient appeal, it’s important to reassure your patient that they have the right and ability to advocate for their own care. Here are some steps to guide the conversation:

Empower Them: Explain that patient appeals are a powerful tool in challenging insurance denials, and that they can continue the fight even if your appeal has been denied.

Offer Support: Let them know that you’ll continue to advocate on their behalf and be available to answer questions, such as providing a letter of medical necessity.

Explain the Process: Briefly outline the steps involved in filing an appeal, and reassure them that tools and resources like Claimable are available to help guide them through the process.

Encourage Persistence: Remind them that appealing can be a process that may require persistence. However, their rights allow them to escalate the appeal if necessary.

Claimable is now available nationwide and accepts denials from all insurance providers, including Medicare, Medicaid, United Healthcare, Anthem, Aetna, Cigna, and BCBS plans. We currently support appeals for over 85 life-changing treatments, including medications for autoimmune and migraine sufferers. We will be expanding fast, launching new conditions and treatments regularly to support more people experiencing denials. Denial reasons may vary, including medical necessity, formulary exclusions, out-of-network exceptions, and site-of-care exceptions.

Affordability is central to our mission at Claimable. We charge a flat fee of $39.95 per appeal, plus shipping – and many appeals come at no-cost to patients thanks to our partner network. Patients only pay when they’re completely satisfied and ready to submit their appeal.

All of your data is handled with strict adherence to HIPAA regulations, ensuring your personal information is protected with the highest standards of security and confidentiality. Claimable uses encrypted data storage and transmission protocols to safeguard your information from unauthorized access. As a covered entity, providers must sign a Business Associate Agreement (BAA) and be verified before they can share personal health information (PHI).

Claimable crafts powerful appeals by combining your story, data, evidence, and policies with persuasive writing and validated appeal strategies to maximize success. Tested with providers and patients, and built by insurance experts, our platform continuously improves by applying insights from past appeals.

Claimable does not provide medical or legal advice, and is not a substitute for doctors or lawyers. We assist by crafting custom, evidence-based appeals that summarize relevant guidelines, policies, and regulations to help you advocate for your patient or provider rights.​

Our advocacy supports:

- Patients: Empower them to protect their consumer and patient rights.

- Physicians: Support their ability to practice medicine without interference.

- Lawyers: Provide a foundation for legal action if necessary.

For legal or medical advice, please consult a licensed attorney or healthcare provide

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