How do insurance denial appeals work?

Upload your denial letter and Lysco analyzes it, identifies the denial reason, cites applicable laws (ACA, ERISA, state regulations), and generates a customized appeal letter. You review and submit it yourself.

Can Lysco predict my appeal result?

Appeal outcomes vary by plan, facts, and documentation. Public data shows consumers rarely appeal denied claims and many denials involve administrative or plan-design issues. Lysco helps users understand the denial, prepare the paperwork, and decide what to do next; it does not predict results.

Is Lysco a law firm or medical practice?

No. Lysco is an informational tool that helps you understand your rights and options. It is not a law firm, medical practice, or insurance company. For specific legal or medical situations, consult a licensed professional.

How much does Lysco cost?

EOB translation is always free and you get one free document analysis and one free appeal letter. Per case: $29 for a denial appeal, medical bill review, or surprise bill dispute. Or upgrade to Pro ($29/mo) or Annual ($199/year) for unlimited everything across all five pillars including the prior authorization helper. Cancel anytime.

Is my health data secure on Lysco?

Yes. Lysco uses AES-256 encryption at rest, TLS for data in transit, and row-level security so only you can access your data. We never sell your data and follow HIPAA-aligned security practices.

Is my health data secure?

Yes. We use strong encryption, strict access controls, and HIPAA-aligned practices.

Upload your denial letter (photo, PDF, or pasted text). Lysco analyzes it and drafts an appeal letter. You review and send it.

Can Lysco predict my appeal result?

Appeal outcomes vary by plan, facts, and documentation. Public data shows many denials are administrative or plan-design issues rather than medical-necessity judgments, and very few denied claims are appealed. Lysco helps you understand the denial, prepare the paperwork, and decide what to do next; it does not predict your result.

Do I really get a free appeal letter?

Yes. Every user gets one free appeal letter. No credit card required to start.

Why is Lysco better than a free template?

Templates are generic. Lysco uses your actual denial details, the specific laws that apply to your plan type, and your insurer’s known patterns to build a tailored letter for your case.

What if I only need help once?

Pay per case. A single denial appeal, medical bill review, or surprise bill (Good Faith Estimate) dispute is $29. No subscription needed and no fee is based on your recovery or savings.

How does Bill Saver pricing work?

Bill Saver is a flat $29 per case. You get the bill review, issue list, negotiation letter, provider call script, and follow-up checklist. Lysco never takes a percentage of savings and never charges a success fee.

What is a surprise bill dispute?

Under the federal No Surprises Act, if your final bill is $400 or more above your Good Faith Estimate, you can file a Patient-Provider Dispute Resolution (PPDR) with the federal government. Lysco compares the documents line by line, checks your eligibility, drafts the dispute letter, and walks you through the submission.

Why isn’t Prior Auth Helper sold per case?

Prior auth is iterative — peer-to-peer review, denial, formal appeal, sometimes external review. The value comes from being able to come back as the case evolves. That’s why it’s included with Pro instead of being a one-off purchase.

Can I cancel anytime?

Yes. Cancel from settings anytime. Access continues through your paid period.

Is there a money-back guarantee?

Yes. If Pro isn’t working for you within the first 7 days, email support@lysco.com and we’ll refund you — no questions asked.

Is this medical or legal advice?

No. Lysco provides information only, not legal or medical advice.

Clear pricing. No surprises.

Start free. Pay per case when you need it. Or go unlimited.

77% of denials are for reasons other than medical necessity (KFF, 2024)49–80% of medical bills have errors (Medical Billing Advocates of America)30 seconds to check your document

No credit card to start1 free appeal letterCancel anytime

Not sure which fits?

ONE CASE, ONE SHOT

I just got hit with a denial or a surprise bill

Per-case: $29 flat. No subscription. Pay only when you unlock a full case packet.

ONGOING CASES

I deal with insurance issues more than once a year

Pro $29/mo — unlimited letters, playbooks, prior-auth help. Annual saves 43%.

JUST TRANSLATE IT

I got a confusing bill and need plain English

Unlimited EOB translation on the Free tier — no card required.

Free

Try Lysco at no cost. No credit card required.

$0/forever

Unlimited insurance statement (EOB) translation

1 free document analysis (any pillar)

1 free appeal letter

Case tracking and deadlines

Get Started Free

Pay per case

No subscription needed. Pay only when you have a case.

1st letter free

Denial Appeal

$29/case

Your first appeal letter is free.

Full analysis, appeal letter, and step-by-step submission guide. Pay only when you need it.

Analysis tailored to your insurer
Appeal letter ready to send
Relevant citations included for review
Submission guidance with insurer address
Follow-up plan with reminders

Review My Denial — $29

Your first appeal letter is free.

Bill Saver

$29/case

Flat price. No percentage of savings. No success fee.

Get the bill review, issue list, negotiation letter, and provider call script for one medical bill.

Bill error detection
Fair price comparison
Negotiation letter
Provider call script
Follow-up tracking

Review My Bill — $29

No contingency pricing or recovery-based fee.

Surprise Bill Dispute

$29/case

Bill $400+ over your Good Faith Estimate? File a federal dispute under the No Surprises Act.

Line-by-line GFE vs bill comparison
Federal PPDR eligibility check
Dispute letter draft
Step-by-step submission guide
Follow-up plan with reminders

Dispute My Bill — $29

Unlimited with Pro

Dealing with multiple cases? One price covers all five pillars — including Prior Auth Helper.

Prior Auth Helper is only available on Pro — it's an iterative workflow that benefits from unlimited use.

Best Value

Pro

All five pillars, unlimited

$17/month

$199 billed annually. Save 43%.

Unlimited denial appeals
Unlimited bill reviews and negotiation letters
Unlimited surprise bill (GFE) disputes
Unlimited prior authorization help
Unlimited EOB translation
Insurer-tailored analysis
Verified analysis (second-pass)

Start Free, Upgrade Anytime

7-day money-back guarantee

Your free letter is included. No payment until you upgrade.

Should you pick Pro?

Three questions. Pick honestly.

Expect more than 1 case this year?

Pro matches per-case at 1 case ($29 once = $29/mo). Starting at case #2, Pro is strictly cheaper. Annual ($199) pays off at ~7 months of use.

Need prior authorization help?

Prior Auth Helper is Pro-only. The process is iterative (peer-to-peer → denial → formal appeal) — flat-fee doesn't fit.

Caregiving for someone with chronic issues?

Chronic conditions = repeat denials, repeat prior auths, repeat bills. Pro's unlimited model removes the per-case friction.

Two or more “yes” → Pro likely pays for itself. All “no” → start with per-case.

Coming soon

Recovery

For active high-stakes cases — $5K+ denials, complex surprise bills, prior-auth escalations.

Everything in Pro
Human letter review before send
1:1 strategy call on your active case
Escalation roadmap — external review, state complaint, regulator

$79/month

When it launches

Not live yet — we'll email you when human review goes live. No spam.

Compare plans

Free

Unlimited EOB translation
1 free document analysis (any pillar)
1 free appeal letter

Per Case

$29/denial appeal
$29/surprise bill dispute
$29 bill review

Best value

Pro

Unlimited everything across all five pillars
Includes Prior Auth Helper
Insurer-tailored + verified analysis

Above shows the highlights — full feature comparison is on the desktop view.

Feature	Free	Per Case	Pro
EOB / insurance statement translation	Unlimited	Unlimited	Unlimited
Document analysis	1 free	Per purchase	Unlimited
Denial appeal letters	1 free	$29/case	Unlimited
Bill negotiation letters	--	$29/case	Unlimited
Surprise bill (GFE) disputes	--	$29/case	Unlimited
Prior authorization helper	--	--
Case tracking and deadlines
Insurer-tailored analysis	--
Verified (second-pass) analysis	--
Priority support	--	--

What every user gets free

Unlimited EOB translation

Upload any insurance statement and get it in plain English. Always free, no limit.

1 free document analysis

Try any of the four paid pillars once, free. Denial, bill, surprise bill, or prior auth.

Case score and next steps

See case strength and exactly what to do next.

1 free appeal letter

Your first appeal letter is included.

The five things Lysco does

Focused on the biggest pain points in US healthcare

Denial Appeals

$29

Bill Saver

$29

Surprise Bills

$29

Prior Auth

Pro only

EOB Translator

Free

Questions

Still have questions? Contact us