U.S. health insurance appeals

KestrelClaim

Turn a denial into a clearer next step.

Clearer appeals for denied care, from first letter to next step.

A denied claim can leave you with more questions than answers. KestrelClaim helps patients make sense of the paperwork and prepare for what comes next.

For patients, benefits partners, and care teams.

An appeal, made legible

Start with the decision

Find the reason. Map the response.

Relevant plan language
Clinical guidelines
Deadlines and escalation steps

A considered draft and a clearer route forward.

First letter → next step

Appeal support for people navigating denied carePatient-first · Policy-aware · Step by step

01 / The appeal path

Less guesswork between steps.

Start with the denial itself. Build a response around the reason it gives, then keep the timeline and available escalation options in view.

  1. 01

    Start with the paperwork

    Share the denial letter and related medical bills so the reason for the decision is clear.

  2. 02

    Shape a tailored appeal

    Build a draft informed by relevant plan language and clinical guidelines for the care at issue.

  3. 03

    Keep the next step in view

    Track deadlines and escalation options, from an internal appeal to external review.

When the stakes are higher, a human specialist can review eligible cases.

02 / A wider circle of support

One clearer process. Different people behind it.

KestrelClaim is designed for the person facing a denial and the organizations helping them move through it.

01

Patients and families

Get a clearer place to begin when a health plan says no to care or a claim.

A more legible path through a stressful process

02

Benefits and advocacy partners

Offer appeal support as a resource for the employees, members, and communities you serve.

Employers · Benefits platforms · Advocacy groups

03

Hospitals and clinics

Use denial-appeal software to help teams pursue reimbursement for unpaid claims.

Tools for provider revenue teams

A fee model aligned with recovery

The goal is a fairer outcome.

For patients, KestrelClaim can use a success-based fee when a claim is recovered, so the fee is tied to the outcome. Ask us about the details for your situation.

Ask about appeal support

Your next step

Start with a conversation.

Tell us what was denied and where you are in the process.