Appeal resources, in plain language.

A denial is not the end of the conversation. These guides walk through how appeals actually work: your rights under federal law, the patterns that get GLP-1 coverage overturned, and what to do when your plan says no. Free to read. No account needed.

Check my denial, free Browse the guides

Education first. We explain your options whether you appeal with us, with someone else, or entirely on your own.

Start here

Flagship guides

The four things most people want to understand the day a denial arrives: what to do first, your legal right to appeal, and how a verified appeal differs from one an AI wrote alone.

Step by step

How to appeal a GLP-1 denial

A full walkthrough: read the denial letter, find the deadline, gather the right records, and write an appeal that answers your plan's actual coverage rules. Works for Wegovy, Zepbound, Ozempic, and Mounjaro.

Read the guide

Coverage problem

Insurance won't cover Ozempic

Ozempic is FDA-approved for type 2 diabetes, not weight loss, so plans often deny it as off-label or behind step therapy. Here is how to tell which denial you have and what each one needs to be appealed.

Read the guide

Your rights

Internal vs external review

The Affordable Care Act gives you two layers of appeal: an internal review by your insurer, then an independent external review by a neutral third party. Here is what each one is, in order, and the deadlines that protect them.

Read the guide

The verification moat

What a verified appeal looks like

Raw AI invents a citation in roughly one out of four appeals. On our held-out testing, every citation in our drafts is checked against its source, with 0 invented. See what that difference looks like on the page.

See the sample

By medication

GLP-1 denial guides

Each drug gets denied for slightly different reasons. Start with the hub for your medication, then drill into your specific insurer.

All GLP-1 denialsThe overview for every weight-loss and diabetes GLP-1. WegovySemaglutide for chronic weight management. ZepboundTirzepatide for weight management and OSA. OzempicSemaglutide for type 2 diabetes. MounjaroTirzepatide for type 2 diabetes.

By denial reason

What does your letter actually say?

Most denials fall into a handful of categories. The reason on your letter decides what your appeal has to prove. Find yours.

Step therapy"Try another drug first" or fail-first rules. Not medically necessaryThe most common, and often the most beatable. Formulary exclusion"Not on your plan's drug list." Quantity limitDose or refill caps below what you were prescribed. Off-label for weight lossDiabetes drugs denied when used for weight. Missing documentationDenied because a record was not in the file.

Before the denial

Getting prior authorization approved

The best appeal is the one you never have to file. These guides cover what plans typically look for before they approve, and the documentation to bring up front.

Prior auth for WegovyWhat to document for weight-management approval. Prior auth for ZepboundWeight management and the OSA pathway. Prior auth for OzempicDocumenting type 2 diabetes and prior therapy. Prior auth for MounjaroDiabetes documentation and formulary tiers.

Why our guides point back to a real draft

The difference is the citations.

Anyone can write an appeal letter. The hard part is making sure every rule it cites actually says what the letter claims. That is the work we do, and the work we show.

The magic is visible

Every citation, checked against its source.

We build your appeal from the sources below, then verify each one before you file. On our held-out testing: 0 invented citations, versus about 1 in 4 for raw AI.

Sample appeal, built from real source types

Your plan's coverage policyThe published medical or pharmacy 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

No source we cannot show you. No citation we have not checked. See it on your own denial, free.

Ready to look at your own denial?

Answer a few questions for an honest read on your options, then a verified draft you review, sign, and file. No account, no cost.

Check my denial, free