Denial Reply appeal paperwork for denied back and neck surgery and scans, for adults in Texas

Free during our test. No payment card. No charge later. The first 20 Texas adults are included.

Results so far

Every case in our free test is counted here if the person said yes to being counted, including losses, cases still waiting for a decision, and cases where we never heard back; each number is shown next to the total it comes from, and nothing here can identify a person.

Not updated yet: the free test has not opened. This is our free test: no one paid for these packets. Counts by the month the case started. Percentages appear only once at least 10 decisions are in. A "documented" result means we have the plan's decision letter; "reported" means the person told us without sending the letter.

All denial reasons, all plansCount
Cases started in the free test0
Packets delivered (of cases started)0 of 0
Closed without a packet (we could not help, or the person asked us to stop)0 of 0
Appeals filed by the person (of packets delivered)0 of 0
Not filed (the person chose not to, or the doctor's office resolved it first)0 of 0
Still waiting for a decision0 of 0
Overturned in full, documented0 of 0
Overturned in part, documented0 of 0
Upheld (still denied), documented0 of 0
Reported by the person, no letter yet0 of 0
Outcome unknown (no reply after 3 reminders)0 of 0
Outside (independent) reviews requested0
Median days from filing to decisionnone yet

The same table, split by denial reason and by kind of plan, appears once a group has at least 3 cases. Groups smaller than that are added into "other" so no one can be picked out.

We also ask each person one question about what the packet would have been worth to them. Those answers are kept private and are not shown here.

These are our own counts for a small test in Texas. They are not a prediction for any one case.