Denied for Ozempic, Wegovy, Mounjaro, or Zepbound?
An AI agent reads your denial letter, matches it against your insurer's own published criteria, and emails you a physician-ready appeal letter in under 30 minutes.
Money back if your doctor won't sign it
Start your appeal now
Why this exists
Insurers deny GLP-1 prescriptions using specific, documented criteria they themselves published. Most patients never see those criteria. Most appeals never get filed. KFF: only ~1% of denied claims are ever appealed.
The agent reads your denial, looks up your insurer's exact policy (we maintain a database of the 30 largest US insurers' GLP-1 medical policies), and writes a citation-grounded letter referencing your BMI, comorbidities, and the specific guideline (AACE 2023, ADA 2025) that applies to you.
How it works
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1
Paste your denial letter
Just text — we don't ask you to upload your full medical record. We delete what you paste within 1 hour after delivering your letter.
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2
Pay $59 via Stripe
One-time charge. No subscription. Charged immediately so we can start working — but with a money-back guarantee if your physician declines to sign the letter as drafted.
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3
Receive your letter in 30 minutes
You'll get a 2–3 page appeal letter, a 1-page summary for your physician's office, and a checklist of supporting documents to attach. Your physician reviews, signs, and submits.
Sample appeal letter
Synthetic example — UnitedHealthcare denying Wegovy for "not medically necessary".
[Patient Name]
[Address]
Member ID: [redacted]
Date: April 26, 2026
UnitedHealthcare
Appeals Department
[address]
Re: Appeal of Prior Authorization Denial — Wegovy (semaglutide 2.4 mg)
Denial reference: PA-2026-XXXXXX dated April 22, 2026
Dear UnitedHealthcare Appeals Department:
I am formally appealing the prior-authorization denial for Wegovy (semaglutide 2.4 mg) issued on April 22, 2026. The denial stated that the medication is "not medically necessary." This appeal demonstrates that I meet UnitedHealthcare's own published GLP-1 coverage criteria, as defined in Medical Policy GLP-1-2025-12, last updated January 15, 2026.
Criterion 1 — BMI threshold: UnitedHealthcare's policy requires BMI ≥ 30, OR BMI ≥ 27 with at least one weight-related comorbidity. My BMI is 34.2, exceeding the primary threshold by a margin of 4.2. Documentation is included in the attached records.
Criterion 2 — Documented prior weight-loss attempts: The policy requires a 6-month documented supervised weight-loss program. I completed WW (Weight Watchers) for 8 months from May–December 2024, with documented monthly weigh-ins, and a 3-month phentermine trial in early 2025 with documented physician supervision.
Criterion 3 — Comorbidity: I have documented Type 2 Diabetes (HbA1c 7.4 in March 2026) and hypertension. The AACE 2023 obesity management guidelines (Garvey et al., AACE Guidelines for Medical Care of Patients with Obesity, Endocr Pract. 2023;29(5):395-431) explicitly recommend GLP-1 receptor agonist therapy for patients with my profile.
I respectfully request that this denial be overturned and Wegovy be approved as prescribed. Per ACA §1557 and ERISA §503, I have the right to a full and fair review of this appeal, with response within 30 days for a non-urgent appeal or 72 hours for an urgent appeal.
Sincerely,
______________________
[Patient Name]
Reviewed and signed by:
______________________
[Physician Name, Credentials]
FAQ
Does this guarantee my appeal will be approved?
No. We guarantee a physician-ready letter — well-formatted, citing your insurer's own policy and the relevant clinical guidelines. Approval rates depend on your specific clinical profile and your insurer. What we promise: the letter is high-quality enough that your physician will sign it, or you get a full refund.
Does my doctor have to do anything?
Yes — they review and sign the letter, then their office submits it to the insurer (typically by fax or via the provider portal). Most physicians are happy to sign a well-drafted letter their patient brings them — it saves them 20–40 minutes of work.
What if my doctor won't sign it?
Full refund within 7 days. Reply to your delivery email with the word DECLINED and we'll process the refund — typically within 1–2 business days. We reserve the right to deny refund requests where we detect evidence of bad-faith use of the service.
Is this legal?
Yes. We draft a document that you and your physician decide whether to use — the same legal posture as LegalZoom or Rocket Lawyer. We are not practicing medicine or law on your behalf. We do not communicate with your insurer. Your physician is the medical decision-maker.
Why can't I just ask ChatGPT to write this for free?
You can. The difference: we maintain a curated database of your specific insurer's published GLP-1 criteria (UnitedHealthcare's policy is different from Aetna's; Cigna's is different again). ChatGPT doesn't have that — it will write a generic letter that may cite non-existent criteria. Our letter cites your insurer's exact policy section by name.
If you'd rather DIY with ChatGPT, that's a legitimate choice. We exist for the patient who wants a finished, signable letter in 30 minutes without becoming a prompt engineer.
Is my medical information secure?
We don't retain it. The denial text and intake form are processed transiently and deleted within 1 hour after we email you the letter. We retain only the minimum metadata needed for billing and refunds (your email address and Stripe customer ID). We never sell or share data.
How fast is "30 minutes" really?
Median delivery during business hours (9am–9pm ET): under 20 minutes. Outside those hours: under 60 minutes. If we miss 60 minutes, we automatically refund 25% of your fee.
Two paths from a denial letter
Without us
- 2–8 hours of research
- Generic appeal templates from forums
- Risk of citing wrong policy section
- Many give up before filing
With us
- 30 minutes, $59 flat
- Citation-grounded letter
- Insurer-specific policy match
- Refund if your doctor won't sign