Healthcare is a Fundamental Human Need
All people should have access to affordable care, regardless of income, status, or ability to fight back.
01
Healthcare as a Human Right
When denials are appealed, they are often overturned, suggesting that many denials are unjust. Access to healthcare should be based on need, not profit margins.
02
Systemic Change Through Action
Our vision targets root causes through influence on systemic levers:
Collective Action
When enough people appeal, the economics of mass denial collapse.
Data-Driven Reform
Each case builds evidence to expose and fix systemic problems.
Accountability
Our tools bring transparency to a system incentivized to operate in the shadows.
03
Creating a Cascade Effect
Our approach creates a cascade: scaling appeals, improved visibility, and applied pressure that drive systemic change. Our vision is about more than helping individuals; it's about ending systemic harms.
What You Can Expect From Us
People Come First
Your needs guide everything we do, not profits or investor pressures. We involve patients in decisions about how we work and what we build.
We're here to help you navigate
Getting care shouldn't be difficult. We combine real people who understand what you're going through with technology that makes access easier.
We're working to fix the bigger problems
While we support you now, we're also building evidence to change systems so others won't face these same issues.
What the Process Looks Like
- 01
Screen and Confirm Scope
A person in need of support submits a request for help, and signs a waiver acknowledging our privacy policies and terms. We review the request, confirm it's a (potentially wrongful) coverage denial we can help with, and if so, proceed. If we can't move forward, a human follows up with the person who reached out to explain why.
- 02
Intake Meeting
We schedule a brief virtual video meeting or phone call. This helps us connect and empathize with those we support, put a face to a name, dynamically learn more about the situation, and answer questions. This step can be skipped if arranging such a meeting is a barrier.
- 03
Gather Documentation
We request the documents that we need to proceed, based on assessment after our intake meeting. This typically includes a denial letter, benefits contract, prior appeal determinations, letter of medical necessity, and relevant medical records. If a patient is unable to obtain any documentation we need from their health plan, we help them get it.
- 04
Evaluate Recourse
We assess appeal, complaint, and regulatory options that may be available based on all we've learned about the situation, present options, and recommend a path forward. An appeal isn't always the fastest or best path, nor is one always available.
- 05
Build Appeal
When filing appeals is the recommended recourse, we do the heavy lifting of preparing all correspondence while keeping clients engaged and promoting their involvement in the process (as much as desired). We research the medical literature, contract language, insurer policy bulletins, and law relevant to the denial, and draft a detailed, individualized appeal. We then present drafts to clients and invite them to review and contribute (as desired and possible).
- 06
Submit Appeal and Exhaust Available Process
We present clients with an individualized, step-by-step guide to submit the appeal. We then stay in the loop, following up with clients so we can keep track of all correspondence. We help clients pursue every level of appeal available, monitor deadlines, make calls as necessary, and escalate to regulators when appropriate.
- 07
Solicit Feedback
When a case has gone as far as it can, either successfully or unsuccessfully, we invite clients to provide detailed feedback both on the problems they faced and our support.