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Outcome education

What a strong case can look like

Illustrative examples of what makes a denial, bill, surprise charge, or prior-auth case worth fighting — and what evidence each one needs.

The scenarios below are fictional educational examples, not Lysco customer results or outcome predictions. Sources include KFF (2024), AMA (2024), and HHS OIG Medicare Advantage Appeal Outcomes (2022).

The Problem

Fewer than 1% of denied in-network claims were formally appealed.

KFF's 2024 ACA marketplace data shows fewer than 1% of denied in-network claims were formally appealed. Here is how people review their options.

Illustrative scenarios

How different cases might be organized

Fictional examples for education only. The amounts, locations, and timelines below are not customer results or predictions.

Texas: $12,400 at issue for knee surgery authorization

Prior Authorization DenialNational PPO plan

Example approach: A response could pair the plan criteria with the orthopedist's recommendation and supporting clinical records.

Florida: $3,200 at issue for hospital billing errors

Duplicate ChargesRegional health system

Example approach: An itemized-bill review could flag duplicate lab entries and ask the provider to validate the facility fee.

Ohio: $2,840 at issue for outpatient procedure billed over the estimate

Surprise Bill (GFE) DisputeIndependent surgery center

Example approach: A line-by-line comparison could show whether the bill exceeds the Good Faith Estimate enough to qualify for federal dispute review.

Illinois: $1,850 at issue for out-of-network anesthesiologist charge

Balance BillingLarge employer plan

Example approach: A review could check whether federal surprise-billing protections apply to an out-of-network clinician at an in-network facility.

Georgia: $8,200 at issue for biologic medication that needed prior authorization

Prior Authorization RequestEmployer-sponsored plan

Example approach: A complete request could organize step-therapy history, clinical records, and relevant labeling around the plan's stated requirements.

Michigan: $15,600 at issue for outpatient surgery

Out-of-Network DenialState marketplace plan

Example approach: A response could document the network search and ask whether an in-network exception is available.

Ready to understand your options?

Upload your denial letter, medical bill, or collection notice. Your first document read is free, and you decide what to do next.

Upload your denial letter — it's free to start