How it works
Set patients up for success with a referral to Claimable
Simply upload documents to Claimable, provide basic patient information, and we'll handle the rest. A referral to Claimable means better outcomes for patients, and more time for you to focus on providing care (not paperwork).
Helping patients win appeals starts with Claimable.
WHAT MAKES US DIFFERENT
Intelligent and personalized.
Claimable’s AI-powered platform analyzes clinical research, policy details, appeals data, and your patient's personal medical story to generate and submit customized appeals in minutes - saving you time and giving your patient the best chance at a successful appeal.
Using Claimable is like having your very own team of insurance experts.
How it works
Your complex denials, handled.
When prior authorizations, formulary exclusions and auto-denials harm patients, we’ll help them get the care they need at lightning speed.
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
Effortless document sharing
To start an appeal, simply invite the patient, upload the denial letter, and your letter of medical necessity. We'll work directly with your patient to handle the rest.
No upfront fees or integrations
Referring patients is 100% free with no need for costly integrations. Most providers start referring patients immediately upon activating their account and becoming a partner.
Secure & HIPAA-compliant
Your data security is our top priority. We ensure HIPAA compliance by signing a Business Associates Agreement and verifying your identity, keeping your information protected.
Patients only pay one flat, affordable fee when they’re fully satisfied and ready to submit their appeal. We don’t take success fees, and partners can choose to cover the cost.
Our AI-powered platform analyzes millions of data points from verified clinical, policy and legal sources, intelligently matching and summarizing evidence to support each appeal.
We ensure appeals reach key decision-makers, influencers, and regulators that can expedite decisions and investigate potential misconduct.
We guide patients with simple questions tailored to their unique situation and offer expert suggestions to enhance their story and maximize coverage.
Getting started is simple
Our AI-Powered platform
Artificial
intelligence is our superpower
Our platform takes hours of research and correspondence and condenses it into minutes.
On top of that, it captures patient stories in their words, and includes documentation from you, the provider, making each appeal tailored to the patient's unique situation.
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.
Was this helpful?
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.
We plan to launch provider tools in early 2025, including support for generating provider appeals and letters of medical necessity using the same AI-powered personalization and intelligence we use today for patient appeals. In the meantime, you can read our guide to writing letters that get results, including templates for prior authorization, formulary exceptions and tier exceptions.
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 50 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. Patients only pay when they’re completely satisfied and ready to submit their appeal. There are no success fees, and partners have the option to cover the cost.
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: Empowering them to protect their rights as consumers and patients.
Physicians: Supporting their ability to practice medicine without undue interference.
Lawyers: Providing a foundation for legal action if necessary.
For legal or medical advice, please consult a licensed attorney or healthcare provider.