Yes, you have the right to appeal. Your rights usually include a timely review with deadlines your plan must follow, a full and fair review of everything you send, and more than one level of appeal. Through the NS Support Appeal Program, Claimable helps patients and caregivers build and send their own appeal, at no cost to eligible patients. Patients with commercial or government insurance may be eligible; see the program terms for details. If you work with NS Support, your Patient Engagement Liaison can help you get started.

A denial is not a final decision — it's the start of a process. You have the legal right to appeal.

Here's what to do:

1. Read your denial letter carefully. It will include the specific reason coverage was denied and instructions for how to appeal. Keep this letter — you'll need it. If you don't have it, NS Support may be able to help you get a copy.
2. Note the deadline. Your denial letter will include a deadline for filing an appeal. Mark it and don't miss it.
3. Talk to NS Support and your doctor. Let them know about the denial. Your Patient Engagement Liaison and the doctor's office will work out the best next step.
4. If you'd like to file your own appeal, Claimable can help. Through the NS Support Appeal Program, you can create and submit an evidence-based patient appeal at no cost to eligible patients. You'll answer some questions about what happened, and Claimable builds a personalized appeal with the clinical evidence and policy arguments that support your case. You review it before it's sent.

It depends on the type of appeal, your plan and your situation, but here's what to expect:

• Urgent/expedited appeals: If your appeal is for a treatment you're currently receiving, or delay will cause imminent harm, it can be classified as urgent. Many plans must respond to urgent appeals within 72 hours. Through this program, Claimable will help you flag your appeal as urgent when appropriate.
• Standard internal appeals: Many plans must respond within 30 days.
• After an internal appeal: If your appeal is denied, you may be able to go further, including to an independent review. NS Support will talk through next steps with you.

Your part takes about 30 minutes. From there, the timeline depends on your plan's response.

Some reasons may include:

• The treatment isn't "medically necessary."
• The patient doesn't meet the plan's coverage criteria.
• The treatment is "experimental" or "investigational."
• A renewal was denied.
• A different treatment must be tried first.

Your appeal answers the specific reason on your denial letter.

Step therapy means the plan wants you to try a different treatment first. You can appeal a step therapy requirement, and in many states the law allows exceptions.

If your treatment is one NS Support supports and your plan denied coverage, the program may be able to help, whether or not you already work with NS Support. Not sure? Call NS Support at 1-833-677-8778, Monday–Friday, 8 AM–8 PM ET.

Through the NS Support Appeal Program, there is no cost to eligible patients for using Claimable to create and submit your appeal. Check your eligibility for a no-cost appeal by creating an account and getting started on the Claimable platform.

You'll have access to Claimable's full appeal platform — including personalized appeal generation, evidence-based arguments, and submission via fax and mail — at no charge. See program terms for full details.

To create your appeal, you'll need:

• Your denial letter — this tells us exactly why coverage was denied, which insurer denied it, and what your appeal deadlines are. If you don't have a copy, you may find it in your insurer's online portal or app, or NS Support may be able to help.
• Your insurance card — you can take a photo of the front and back.
• Basic information about your health — Claimable will walk you through guided questions about the diagnosis, treatment history, and how the denial has affected you and your family. Specific, everyday examples help tell your story. You don't need to prepare anything in advance.

If you have a genetic test report, recent clinic results or a letter of medical necessity, you can upload those too, but they're not required to get started. If NS Support referred you, some may already be added.

You can complete the appeal yourself, or a caregiver can help or complete it for you. It takes about 30 minutes.

Yes. Each has different strengths. A provider appeal is usually built on clinical justification alone. A patient appeal can draw on your story, the clinical evidence, and the legal protections that apply to you as a plan member, including in most plans the right to an independent external review. Only one appeal should go in at a time, so NS Support works with your doctor's office on which to file. If your doctor's appeal is denied, you may be able to file the next appeal yourself.

No one can promise an outcome, and every case is different. The strongest appeals combine your story, the clinical evidence, and the specific laws and plan policies that apply to your denial. Claimable builds each appeal around all three. It can take more than one try, and if your first appeal is denied, NS Support will talk through next steps with you.

Yes. Claimable is HIPAA compliant and SOC 2 Type II certified, which means your health information is handled with the security standards used to protect sensitive data. NS Support shares information with Claimable only under the authorization you gave it. You review and approve your appeal before anything is submitted.

Your plan sends its decision to you. Please report it in your Claimable account so NS Support knows too.

• If it's approved, let your doctor's office, specialty pharmacy and NS Support know.
• If it's denied, NS Support will reach out about next steps, which may include a second-level appeal.

You can always call NS Support at 1-833-677-8778, Monday–Friday, 8 AM–8 PM ET.