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Show your work

Every payer policy we cite, in one place.

An appeal lives or dies on its citations. So we publish the library, payer by payer. What we hold, where it came from, and when it was last checked.

Every citation traces to a primary source, or the engine will not use it.

Fabricated citations

0

Across every published evaluation run of the drafting engine. Full method at /methodology.

Held-out draftability

95.2%

249 held-out cases, our GLP-1 wedge benchmark. Full numbers at /methodology.

Verified library entries

262

21 drug classes. FDA labeling, clinical guidelines, trial evidence, and payer policy, each checked against its primary source before anything may cite it.

How this library works

Every appeal Appealit drafts cites something real. The payer's actual coverage policy, by name and section, checked against the payer's own published document before the drafting engine may reference it. The library is built payer by payer under a verify-don't-trust process. A citation is checked against its primary source before it is admitted, and nothing ships that failed that check.

Below is every payer with policy-level citations in the library today. Open one and you will find the exact policy, the source link, and the date we last checked it, the same information the drafting engine itself works from.

The payers

Five payers have policy-level citations in the library today. Pick one to see the receipts.

What this shows, and what it does not

This page shows what the engine can cite, not what it will win. A verified citation means the policy exists, says what we say it says, and applies to the facts as argued. It is not a prediction, and it is not a win rate. Appealit does not publish win or overturn rates, because we have not measured them on real filed appeals yet.

A different kind of receipts. Some states now require insurers to publish their own prior-authorization denial and appeal-overturn numbers. Ohio's insurers were first to report; see what they said about themselves at the Ohio prior-auth report. That page reads the payers' self-reported outcomes. This page shows our own citation library. They are not the same thing, and we keep them separate on purpose.

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Every entry in the citation library is checked against its primary source before it can be cited. Effective and verification dates are shown on each payer's page where recorded. Appealit is not a law firm and does not provide legal or medical advice. Payer names are used for identification only; Appealit is independent and not affiliated with, endorsed by, or sponsored by any insurer.