Your denied healthcare claims, handled. Introducing Claimable's AI-powered platform that helps patients challenge unjust denials with custom appeal in minutes.
At Claimable, we believe everyone is entitled to the care they need and coverage they deserve. Our physician-led team of healthcare insiders, data scientists and technologists is dedicated to fighting back against the 850 million denied U.S. health claims each year, challenging baseless denials and removing barriers to care, financial strain, and medical debt.
Introducing Claimable's AI-Powered Platform
Our AI-powered platform analyzes clinical research, policy details, appeals data and your unique medical story to generate and submit customized appeals in minutes.
"This platform is a lifeline for those caught in the machinery of an industry that too often prioritizes dollars over lives." –Wendell Potter, health insurance reform expert and former insurance executive
Using Claimable is like having your very own team of AI-powered experts:
Analyzer
We extract relevant details from your documents and plan policies so you don’t have to, and transform them into compelling facts and powerful stories.
Researcher
We instantly search millions of clinical guidelines, appeal precedents, policy details and legal frameworks to find evidence that supports your claim.
Strategist
We gather, review, and apply learnings from winning appeals similar to yours, ensuring you have the strongest strategy possible.
Wordsmith
We create your appeal in minutes, using our proprietary algorithm to maximize the strength of arguments, evidence, tone, voice and style.
Assistant
We help you reach the right decision-makers by taking care of letter delivery and tracking, and offer guides, reminders and tips for following up.
Breaking down your winning appeal
Claimable is your secret weapon, blending advanced technology, insider knowledge, and a library of evidence to craft customized appeals that get results.
We pull information from three important categories to craft a comprehensive, compelling appeal.
Personal Impact
Your story matters. We summarize facts, events and the personal impact of denied care on your health, life and finances.
Clinical Evidence
We illustrate the clinical justification for care, pulling from medical studies, established guidelines, claims and appeals precedents.
Policy Compliance
We include plan policies and local laws relevant to your case, demanding insurers provide specific decision details and a fair, fast appeal review.
Getting started
Our appeal builder makes the process painless, we promise. Here's what to expect:
Eligibility check - While we are working hard to support all types of care and conditions, we currently support autoimmune and migraine related denials within the last 180 days. As a first step, we will review your denial details and let you know If Claimable can help.
Easy document upload - You’ll start by snapping a photo of your insurance information and denial notice. This helps us save you time and ensures we don’t miss anything. No documents, no problem – you can share details manually.
Medical history questionnaire - We'll ask you a few simple questions about the events leading up to the denial. To prepare, be ready to share what alternative treatments you’ve tried in the past and why your doctor prescribed the treatment.
Optional extras - In some cases, sharing a statement of medical necessity from your doctor or other documentation may strengthen or expedite your case. These aren’t required, and we’ll explain how to obtain extras if you don’t have them.
You can pick up where you left off anytime and your information will be saved.
Getting a fast and fair response
Once your appeal is created, we don’t stop there. We send your appeal by Fax and First Class Mail with tracking to make sure it’s received. We request urgent, 72-hour reviews when appropriate, and typically receive standard appeal decisions within a couple weeks. In addition, we hold insurers accountable to Affordable Care Act and ERISA regulations that mandate who reviews your appeal, what they share about their decision, when they share it and how they share it.
If your appeal is for… | Expedited Service* | Experimental Service | Upcoming Service | Received Service |
Your timeline is… | 72 hours | 7 days | 30 days | 60 days |
You can request an expedited appeal if waiting for a claim decision may put your health at risk, such as if you urgently require medication or are currently in the hospital.
Support when you need it
We provide guidance, reminders and tips to help you take action with confidence, and offer expert support when you need it.
Reminders and tips - Throughout the process, we offer step-by-step guidance to capture your personal story, review your draft appeal, reach the right decision-makers and follow up with insurers.
Knowledge resources - Get answers for commonly asked questions, understand your appeal rights and process, and decode confusing terms and codes.
Support when you need it - Our appeals team is available when you have questions, want clarifications or need extra support. We respond to support needs within 1-3 business days via email and offer live support when needed.
Getting it all at a fair, flat and affordable price
We don’t take percentage-based fees because we believe getting access to the care you need and coverage you deserve shouldn’t cost you a fortune. Instead, Claimable’s AI-powered platform delivers a powerful, efficient, affordable appeals, without having to pay thousands for a lawyer or professional advocate.
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