Denial reason and deadline
We extract the denial code, stated reason, claim number, appeal deadline, and whether urgent review or external review may apply.
Denial appeals
Appeal your health insurance denial.
Upload the denial. Lysco analyzes it, finds the real reason and the strongest argument, drafts the appeal, and walks you through submitting it yourself.
Free first analysis You submit Encrypted upload
Appeal
Ready after review
Denial reason
Medical necessity — clinical criteria missing
Deadline
Appeal window detected from letter date
Best argument
Plan rule + treating physician evidence
Submission
Portal, fax, email, or certified mail steps
Strong next step: attach doctor letter, clinical notes, and plan criteria request.
19%
ACA marketplace in-network claims denied in 2024
KFF
<1%
Denied ACA marketplace in-network claims formally appealed
KFF
30–180
Days many appeal and dispute windows run
Plan dependent
$9
Flat full case. No success fee.
Lysco pricing
What you get
The letter, plus everything you need to send it.
A draft on its own is not enough if you do not know what to attach, where to send it, or what happens next.
Rules and citations
The draft cites the relevant plan language, ACA/ERISA rights, state protections, Medicare rules, or payer policy where they apply.
Evidence checklist
Lysco tells you what to attach: doctor letters, records, prior-auth history, itemized bills, clinical guidelines, or missing forms.
Self-submission path
Review the letter, sign it yourself, then submit by portal, fax, email, or certified mail. Lysco shows the proof checklist and follow-up windows.
What else Lysco covers
A denial often comes with other paperwork.
A denied claim often connects to a bill, prior auth, surprise charge, debt notice, charity-care application, or drug assistance program. Lysco keeps those paths connected.
- Denials, bills, surprise bills, prior auth, EOBs, medical debt, charity care, drug assistance, and benefits in one account.
- Self-submission guidance with portal, fax, email, and certified-mail steps so the work does not stop at a downloadable template.
- Payer playbooks and denial-code strategies for national insurers, PBMs, Medicare, Medicaid, and major BCBS affiliates.
- Escalation paths for external review, state complaints, CMS complaints, debt validation, and hospital financial assistance.
- Flat pricing with no contingency cut, no percent of savings, and a free first analysis before you decide.
Denials we cover
If the insurer said no, start here.
Upload a denial letter, EOB, prior-auth rejection, pharmacy denial, or a screenshot. If the document is not appealable, Lysco tells you plainly.
Not medically necessary
Prior authorization denied
Drug not on formulary
Step therapy failure
Experimental or investigational
Out of network
Emergency room denied
Missing documentation
Timely filing
Denied a GLP-1 like Ozempic, Wegovy, or Zepbound? See the dedicated GLP-1 appeal guide — step therapy, exclusions, and the exception paths that fit them.
Questions
Clear answers before you upload.
Is Lysco a law firm or medical provider?
No. Lysco is informational software. It helps you understand documents, draft paperwork, and organize next steps. It is not legal, medical, financial, or insurance advice.
Will Lysco send the appeal for me?
No. Lysco prepares the letter and instructions, but you review, sign, and submit everything yourself. That keeps the letter in your voice and avoids Lysco acting as your representative or agent.
Can Lysco guarantee the appeal will win?
No. Appeal outcomes depend on your plan, the denial reason, deadlines, evidence, and applicable law. Lysco focuses on making the strongest paperwork path clear.
What does the free first analysis include?
A document review that identifies the core issue, likely workflow, important deadlines, and whether there is a case worth pursuing. A full case adds the finished letter, a self-submission checklist, proof-of-submission tracking, and escalation support.
Appeal guides by insurer
Start with your insurer.
Insurer-specific denial guides: common denial patterns, the laws that apply, and what strengthens the appeal.
Start the appeal read now.
The first analysis is free. No card. Upload the denial letter and see the strongest next step before the appeal window closes.
Upload denial letterMost appeal windows are measured in days, not months. Check the letter date.