For therapists in private practice
Win the insurance appeals
you’re losing.
Insurance companies deny therapy claims they shouldn’t — banking on you being too busy to fight back. We write the appeal letter for you, tuned to your specific payer and denial reason, and get it back in your hands within 24 hours.
$99 per appeal · You only pay if you use the letter we send.
Payer
Aetna Behavioral
Denial reason
Medical necessity (90837)
Strategy
Cite carrier’s own LCD, document session-length justification, attach CPT-coding guidance.
“Dear Appeals Reviewer, I am writing to formally appeal the denial of claim #A-447829 for date of service 02/14/2026. Per Aetna’s own Clinical Policy Bulletin 0249, individual psychotherapy sessions of 53+ minutes are medically necessary when…”
$99 per appeal
Pay only if you use the letter we send. No subscription, no retainer, no minimums.
24-hour turnaround
Send your denial today, get the appeal letter tomorrow. Most arrive in well under a day.
Written for your case
Every letter is custom — tuned to your specific payer, your CPT code, and the exact denial reason on the EOB.
How it works
Three steps. No portals.
No software to learn.
You forward us the denial. We do the writing. You send the letter. That’s the whole thing.
- 01
Send your denial letter
Email us a PDF, a phone photo, a screenshot of the EOB — whatever you have. No portal to log into.
- 02
We write a custom appeal in 24h
A human writer with payer-policy experience drafts a letter for your specific carrier and denial reason. Cites the policies that matter.
- 03Done
You review, sign, send
You get a finished letter on your letterhead, ready to fax or upload. You stay in control of every claim.
Pricing
One price. No catch.
A single overturned therapy claim is typically worth $150–$1,000+, depending on session count and rate. The math tends to work out.
If we send you a letter and you decide not to use it, you owe nothing. We’d rather earn the next one.
What’s included
- Custom appeal letter on your letterhead
- Researched against your payer's published policies
- Delivered in 24 hours or less
- Pay only if you decide to send the letter
- Unlimited revisions until you're happy with it
- BAA available on request before any patient information is shared
FAQ
Questions,
honestly answered.
Anything we missed? Email finn@appealfox.com and a real person will write back.
Is what I send you HIPAA-protected?
We treat anything you send as PHI. A Business Associate Agreement (BAA) is available on request before any patient information is shared — just ask in your first email and we'll send one over. We store documents encrypted and delete them after your appeal is closed. You're also welcome to redact patient identifiers before sending; we can write a strong appeal from initials and dates alone.
How fast do I actually get the letter?
Almost every appeal goes out within 24 hours of you sending us the denial. Most are done in well under that. If your denial is sitting on a tight payer deadline, tell us in the email — we'll prioritize it.
What's your success rate?
We don't quote a single number, because it depends heavily on the payer, the denial reason, and your documentation. What we can say: the appeals we write are grounded in the carrier's own published policies, which is the single biggest factor in whether an appeal gets overturned. We'll tell you honestly if we think a denial isn't worth appealing.
What information do you need from me?
The denial letter or EOB is the main thing. It also helps if you share the CPT code(s) billed, the date(s) of service, the payer name, and a sentence or two of context (e.g. "this is a long-standing client we've been seeing weekly"). If anything's missing, we'll ask.
What's the refund policy?
There isn't one to need. You pay $99 only if you decide to use the letter we send. If you read the draft and decide not to send it, you don't owe anything. We'd rather earn your trust on the next denial.
Who actually writes the appeals?
Humans with experience in payer policy and behavioral-health billing — not a generic AI chatbot. We use tools where they help (pulling up the right LCD, formatting), but the strategy and the words are written by a person who's read your denial.
Ready when you are
Have a denial sitting on your desk?
Forward it to us. You’ll have a finished appeal letter back in your inbox tomorrow — and you only pay if you use it.