Questions & Answers

ApproveIt uses AI to fight insurance denials on your behalf. You upload your denial letter, our AI analyzes it, researches clinical guidelines, writes a professional appeal letter, and submits it electronically — all in about 90 seconds. We then monitor your case 24/7 and escalate if the insurer doesn't respond within legal deadlines.

Our AI generates and submits your appeal within 90 seconds of upload. Insurance companies are legally required to respond within 30–60 days for standard appeals and 72 hours for urgent/expedited appeals. We automatically track these deadlines and escalate if they're missed.

We handle all common denial types: medical necessity denials, experimental/investigational treatment denials, step therapy requirements, prior authorization denials, out-of-network denials, and missing information denials. Our AI is trained on thousands of successful appeal strategies.

Properly filed appeals succeed approximately 83% of the time according to industry data. Most people never appeal — only about 0.2% of denied claims are ever appealed. Our AI ensures every appeal is professionally prepared with clinical evidence and legal citations.

Almost nothing. After upload, you'll see a confirmation screen showing what our AI extracted from your letter. You confirm the details are correct, sign the success fee agreement, and we handle everything else — submission, monitoring, deadlines, and escalation.

Zero upfront. We charge a success fee only when your appeal is approved: 15% for patients, 12% for clinics, and 8–10% for hospitals (volume-based). If your appeal is denied, you pay absolutely nothing.

Only after your insurance company approves your claim. You have 14 days after confirmation to pay. Your saved payment method is charged automatically — you'll receive email notification before and after.

No. If your appeal is denied at all stages — internal appeal, external review, and commissioner complaint — you owe us $0. Zero. No hidden fees, no setup charges, no monthly minimums.

If your $50,000 surgery was denied and we successfully get it approved, your success fee would be $7,500 (15%). You keep $42,500. If we don't win, you keep everything and owe us nothing.

Yes. We maintain full HIPAA compliance. All uploaded documents are encrypted using AES-256 encryption at rest and TLS 1.3 in transit. Documents are automatically deleted after 90 days. We never sell patient data. Our infrastructure runs on HIPAA-eligible services with a signed Business Associate Agreement (BAA).

Only our AI system processes your documents. No human at ApproveIt reads your medical records. Your data is isolated using Row Level Security — no other user can access your information. Admin staff can only see case metadata (status, amounts) for platform management.

Yes. We execute a BAA with every hospital and clinic client. Our infrastructure provider (Supabase) also maintains a BAA with us. This chain of BAAs ensures HIPAA compliance throughout the data flow.

Hospital and clinic accounts can upload a CSV file with denied claims data plus batch PDF upload of denial letters. Our system processes all cases simultaneously, matching each denial letter to its corresponding CSV record. You can track all cases from your enterprise dashboard.

Hospital onboarding is a 7-step process: account type selection, hospital system information, primary contacts (2 required), address and EHR details, success fee rate confirmation, master agreement signing (download, sign, upload), and verification. Your account activates within 1–2 business days after agreement verification.

We currently support data import from all major EHR systems including Epic, Cerner, AthenaHealth, and Meditech via CSV export. Direct API integration is on our roadmap for Q3 2026.

Hospitals and clinics are invoiced monthly (Net-30 terms) for all cases won in the previous month. You receive a detailed invoice showing each won case, the approved amount, your fee rate, and the fee owed. No charges for denied cases.

No. ApproveIt is a technology platform that provides AI-powered document automation. We do not provide legal, medical, or financial advice. Our AI generates appeal documentation based on clinical guidelines and applicable regulations, but patients should review all documentation before submission.

Starting in 2026, the Centers for Medicare & Medicaid Services (CMS) requires insurance companies to support electronic prior authorization. This means insurers must accept and respond to electronically submitted appeals, which is the foundation ApproveIt is built on.

If an insurer fails to respond within their legally mandated timeline, our system automatically files a complaint with the state insurance commissioner and notifies you. Many states impose penalties on insurers who miss deadlines, which often results in automatic approval.