Pricing
Flat-fee per appeal. No subscriptions. Free triage before you pay.
Most denials. Most situations.
- AI-prepared, human-reviewed by a named specialist
- 24-hour turnaround
- Plan-language and state-rights references
- Submission checklist with insurer fax / portal links
- Word + PDF delivery
- One round of revision
Fit for: Administrative, prior-authorization, plan-exclusion, and most out-of-network denials.
Medical necessity. High-dollar denials.
- Everything in Strong
- Citations to specific plan-document sections (Summary of Benefits / Certificate of Coverage)
- Peer-reviewed studies supporting medical necessity
- Treatment-guideline references from professional societies
- Two rounds of revision
Fit for: Medical necessity, experimental/investigational, surgery, fertility, and high-dollar specialty drug denials.
Time-sensitive denials.
- Everything in Premium
- 12-hour turnaround SLA
- Priority queue placement
- Expedited-appeal language under your insurer's rules
- Same-day kickoff if submitted before 12pm ET
Fit for: Scheduled surgery within 14 days, urgent medication continuation, ongoing inpatient care, end-of-life situations.
Add-ons
| Add-on | Price | What it includes |
|---|---|---|
| External Review Pack | $199 | State-specific independent-review submission packet after internal appeal is denied. |
| Provider Evidence Pack | $49 | Treating-provider letter template, records-request checklist, fax cover sheet, and suggested language for your doctor’s office. |
| Send-My-Fax | $9 | We send your appeal by fax directly to the insurer’s appeals fax number. |
| Second Denial Response | $129 | After your first appeal is denied, a follow-up response that incorporates the insurer’s reasoning and strengthens the external-review case. |
Frequently asked questions
Do you offer refunds?
Can I add the External Review Pack later?
Is there a per-month subscription?
What payment methods do you accept?
Will my HSA or FSA card work?
InsureDefense is not a law firm, insurer, medical provider, or claims adjuster. We do not provide legal, medical, or insurance advice. We prepare appeal documents based on the information you provide. We do not guarantee approval, payment, coverage, or reimbursement. For urgent medical situations, contact your doctor, insurer, or emergency services directly.