Appeal Assist — 16-screen mockup
Workable prototype — all 16 MVP screens (S01–S16).
Pick a scenario below to load its full S01→S16 flow. Tap the blue button to advance, the back chevron to go back, or switch to Gallery to see all 16 at once. The SNF countdown is live. Nothing is submitted — this is a UX mockup.
Scenario
9:41
Welcome
Fight your denial
Appeal Assist

Insurance said no.
Let's change that.

We turn your denial into a strong, citation-backed appeal — in plain language, in minutes.
HIPAA-aware 256-bit encrypted No spam
Administrative service, not legal or medical advice.
Add the denial letter. We'll read it and pull out the details for you — no typing needed.
Drag & drop, or tap to upload
PDF, JPG or PNG · up to 20 MB
Or forward your letter to case@appealassist.co — we'll match it to your account automatically.
Multi-page denial, or only have the EOB? Upload everything — we'll sort it out.
We read your letter. Confirm these details — fixing one wrong field now keeps your appeal strong.
Your letter
UnitedHealthcare · Notice of Medicare Non-Coverage
"…the skilled level of care is no longer medically necessary and coverage will end on 05/24/2026."
We pulled these detailstap to edit
Insurer
UnitedHealthcare
Plan type
Medicare Advantage (HMO)
Service denied
Skilled nursing facility (rehab)
Letter date
May 22, 2026
Appeal deadline Check this
May 24, 2026 · 12:00 PM
Why we check: The OCR was slightly unsure of the deadline. Confirm it — this one drives everything that follows.
No letter handy? Enter what you know — you can add the letter later and we'll merge it.
1 · Insurer2 · Service3 · Reason
You can edit any of this later. Nothing is final yet.
We reviewed your letter

This is a Medicare Advantage post-acute denial

Your mom's plan is ending coverage for her skilled-nursing rehab. This is one of the most appealable denials there is — and it's time-sensitive.
CAT-PAC · Post-acute CAT-ALG · Algorithm-driven
Why this matters: These cut-offs are usually generated by an algorithm (nH Predict), not an individual doctor — and when families appeal, more than 9 in 10 win.
Your case
PatientDorothy M. (your mother)
PlanUnitedHealthcare Medicare Advantage
Service endingSkilled nursing facility
NoticeNOMNC · received today
Administrative service, not legal or medical advice.
We found 3 problems in the denial letter that strengthen your appeal:
Algorithm-driven decision High
RED-005 · What this means: The cut-off appears generated by nH Predict with no individual physician review. Courts (Lokken v. UnitedHealth) have challenged exactly this — we'll demand an individualized review.
"No improvement" rationale High
RED-009 · What this means: The letter implies your mom isn't improving fast enough. The Jimmo v. Sebelius settlement makes that an invalid reason to deny skilled care — we'll cite it directly.
Conflicts with therapy notes Medium
RED-010 · What this means: Her physical-therapy notes from this week document ongoing need — directly contradicting the plan's reasoning. We'll attach them.
Flags are detected automatically and should be reviewed.
Time-sensitive — act today
71
Hours
42
Min
18
Sec
Deadline to file your fast appeal: Sun, May 24, 12:00 PM
Recommended for you

File a fast appeal with the Medicare review office

A free, official "expedited" appeal. An independent doctor — not your mom's plan — decides within 72 hours, and she can stay in rehab during review.
1
We call the BFCC-QIO review line on your notice and file today.
2
We request the plan's detailed reasons (the DENC) to counter them.
3
We attach her therapy notes showing she still needs skilled care.
>90%
of these fast appeals are overturned when filed
$0
cost to file — coverage continues during review
Your case
PatientDorothy M. (your mother)
PlanUnitedHealthcare Medicare Advantage
Service endingSkilled nursing facility
Flagged: decision appears algorithm-driven (nH Predict)
This is an administrative service, not legal or medical advice. Outcomes are not guaranteed.
Your appeal is 75% ready. Here's what we've gathered and what's left:
Physical-therapy notes
Pulled from your upload — shows ongoing skilled need.
Added
Supporting guidelines
Jimmo settlement + post-acute care standards auto-attached.
Added
Plan's detailed reasons (DENC)
Requested from the plan so we can rebut each point.
Requested
Physician order / signature
One quick step — ask her doctor to confirm continued need.
Request
We'll never submit anything without your review first.
Here's your appeal letter. Edit anything inline, or tap a suggestion to make it stronger.
Jimmo citation added + Cite therapy notes Make it firmer

RE: Expedited appeal — Dorothy M., Member •••• 4821

To the UnitedHealthcare Appeals Department and the BFCC-QIO:

I am requesting an expedited appeal of the Notice of Medicare Non-Coverage dated May 22, 2026, which ends coverage for skilled nursing facility care. The decision does not reflect an individualized clinical review.

The notice cites a lack of "improvement." Under the Jimmo v. Sebelius settlement, skilled care may not be denied solely because a patient is not improving where skilled services are needed to maintain function or prevent decline.[1]

Attached physical-therapy notes dated this week document an ongoing need for skilled intervention, directly contradicting the plan's rationale.

I respectfully request that coverage be continued pending review.

[1] Jimmo v. Sebelius Settlement Agreement (2013); CMS Pub. 100-02, Ch. 8. Citations inserted automatically — verify before sending.
You review everything. Nothing is sent without your approval.
Choose how to send it. We recommend the fastest official route for a time-sensitive Medicare appeal.
Recommended
Fax to the QIO
Delivers in minutes · proof of receipt
Insurer portal
1–2 min · instant confirmation
Email
Minutes · keep the read receipt
Certified mail
3–5 days · strongest paper trail
Phone (QIO)
Now · we guide you through the call
Sends to Livanta BFCC-QIO · fax (877) 588-1123 · 4 pages incl. letter, therapy notes, guidelines.

Appeal submitted

Sent to Livanta BFCC-QIO by fax. You're inside the deadline.
Confirmation #AP-2026-058842
SentMay 22, 2026 · 2:14 PM
MethodFax · 4 pages · delivered
Deadline metYes · 45 hrs to spare
What happens next
  • The QIO reviews within 72 hours.
  • Coverage continues while they decide.
  • We'll text you the moment there's a decision.
Your active appeals, sorted by next deadline.
Dorothy M. — SNF coverage
UnitedHealthcare · Medicare Advantage
QIO review
Decision expected in 2 days
Marcus T. — MRI lumbar spine
Aetna · prior authorization
Awaiting
Insurer reply due in 12 days
ER visit — facility fee
BlueCross · claim denial
Overturned
Won · $2,340 reversed
Humira — step therapy
Cigna · pharmacy denial
Draft
Letter ready to review
Push reminders
Email reminders
SMS reminders
Dorothy M. — SNF coverage
PlanUnitedHealthcare MA
StatusExpedited QIO review
Decision byMay 24, 12:00 PM
TimelineDocumentsCalls
Expedited appeal filed
May 22, 2:14 PM · faxed to Livanta BFCC-QIO
DENC requested from plan
Detailed reasons requested so we can rebut each point.
Therapy notes attached
3 documents · shows ongoing skilled need.
Awaiting QIO decision
Independent doctor reviewing · coverage continues.

Coverage restored

The QIO overturned the denial. Dorothy's skilled-nursing care continues — no out-of-pocket cost.
DecisionOverturned
DecidedMay 24, 9:02 AM
CoverageContinued · skilled rehab
Time saved vs. self-appeal~18 days
What this means
  • Keep the QIO decision letter with your records.
  • If the plan tries another cut-off, we'll re-file fast.
  • You can export this full case anytime.
If a denial stands, here's where to go next. We pre-picked the best fit for your case.
External review (IRO) Recommended
An independent doctor outside the plan decides. Binding on the insurer, and free to you.
State fair hearing
For Medicaid denials — a state hearing officer reviews your case.
File with a regulator
Report to your state insurance department or CMS for plan misconduct.
Talk to an attorney
For large-dollar or ERISA claims — we can refer you.
PathCostTimeBinding
IRO$0~45 daysYes
Fair hearing$0~60–90 daysYes
AttorneyVariesMonthsCourt
Escalation context loops back to evidence-gathering for the next level.
Phase 2 preview
Tia · Patient Advocate
Hi — I'm Tia. I saw your mom's SNF appeal is in QIO review. Want me to check anything before the deadline?
Can you confirm the therapy notes went through?
Yes — all 3 documents are attached and the fax shows "delivered." You're in good shape.
How long does a QIO decision take? +
Can coverage stop during review? +
What if they deny again? +
Talk to a human advocateBook a 15-min call — or get matched to a referral advocate near you.
S01 · Welcome
Prototype notes. All sixteen MVP screens (S01–S16) from the wireframe spec, wired with working navigation. The capture → submit flow follows one coherent Medicare Advantage / SNF case (Dorothy M.); the dashboard, outcome and escalation show a range of denial types (commercial prior-auth, ER claim, pharmacy step-therapy). Copy is plain-language; red flags map to the taxonomy (RED-/CAT-); the S07 countdown is live. Buttons route between screens but submit nothing.