Home / Resources / What a verified appeal looks like

The verification moat

What a verified appeal looks like

Anyone can generate an appeal letter. The hard part is making sure every rule it cites actually says what it claims. Raw AI invents a citation in roughly one out of four appeals. On our held-out testing, ours had 0 invented. Here is the difference, on the page.

No download here on purpose. A real appeal is built from your denial, not a generic template.

The promise sounds simple: we draft your insurance appeal and verify every citation before you file. The reason it matters takes one fact to explain. In an appeal, a single fabricated citation, a policy number that does not exist or a criterion the reviewer cannot find, can undo an otherwise strong case. So we treat citations as the thing to get right.

Why this is the whole ballgame

General-purpose AI is built to produce plausible text. Most of the time that is helpful. But "plausible" is not the same as "true," and AI tools sometimes generate a reference that reads convincingly and simply is not real. Independent reporting and testing have repeatedly documented this pattern in AI-written documents.

~1 in 4

Raw AI appeals contained at least one invented citation, on our held-out testing.

0

Invented citations in our drafts, on that same held-out testing, after verification.

These figures describe our own held-out testing of the drafting process. They are a measure of citation accuracy, not a prediction about whether any individual appeal will be approved.

What "verified" actually means

Verification is not a marketing word here; it is a step. For every claim a draft makes, we check it against its actual source before it reaches you:

  • Policy language is checked against your plan's own published coverage policy, not paraphrased from memory.
  • Medical facts are tied to the FDA-approved label for the drug, with its real indication and dosing.
  • Your records are cited back accurately, so nothing is attributed to your file that is not in it.

The rule we hold ourselves to: no source we cannot show you, and no citation we have not checked.

A look at the sample

Below is an illustrative example of how a verified appeal is structured. It is a sample built from real source types, not a real patient's letter, and it shows the spine of a grounded appeal: a specific argument, anchored to sources that each carry a verified stamp.

Illustrative sample, not a real patient

Internal appeal: GLP-1 coverage denial

Reason appealed: medical necessity not met. Drug: a GLP-1 medication, cited to its FDA label.

"This appeal addresses the denial of coverage referenced above. The plan's published coverage policy for anti-obesity agents requires documentation of specific clinical criteria. The enclosed records establish each criterion in turn, and the medication's FDA-approved labeling confirms the indication. Each citation below has been checked against its source."
  • Your plan's coverage policyThe specific published policy your insurer applied to your medicationVerified
  • FDA labelThe prescribing information for your drug, with its approved indication and dosingVerified
  • Your recordsYour diagnosis, history, and prior therapies, cited back accuratelyVerified
  • Your appeal rightsThe internal-appeal and external-review provisions that apply to your planVerified

Every line above carries a verified stamp because every line traces to a real source. That is the difference verification makes.

Why there is no download button. A generic template cannot cite your plan's actual policy, your medication's label, or your records, which is exactly what makes an appeal work. Instead of a one-size-fits-all PDF, you can generate a verified draft built for your real denial, free, by answering a few questions.

See it on your own denial, free.

Answer a few questions and we will build a verified draft for your actual case, every citation checked. No account, no cost.

Generate my real draft, free

Common questions

What does a verified appeal mean?
It means every citation in the appeal, the policy language, the FDA label reference, and the record it points to, has been checked against its actual source before you file. On our held-out testing, our drafts contained 0 invented citations, versus about 1 in 4 for raw AI.
Can I download a sample appeal?
We do not hand out a generic template, because a real appeal has to be grounded in your specific denial, your plan's rules, and your records. Instead of a download, you can generate a verified draft built for your actual case, free.
Why does AI invent citations?
General-purpose AI predicts plausible-sounding text, which sometimes includes a policy number, criterion, or reference that does not actually exist. In an appeal, a fabricated citation can sink an otherwise strong case, so we verify every citation against its source.
Is this really free?
Yes. We draft your appeal for free and you file it. No fee, no contingency, nothing taken from coverage you win. AppealIt is not a law firm and does not provide legal or medical advice.