Appeal Letter Writer

Patient & Clinical Information

Last Name *

First Name

Date of Birth

Member ID

CPT Code *

Patient State *

Insurance Company *

Insurance Type *

Denial Letter & Clinical Documents

Upload Denial Letter + Clinical Documents * Upload your denial letter and clinical notes together — GetPreAuth will automatically extract the denial reason and generate the appeal

📄

Drag & drop files here
or

PDF, TXT, DOCX accepted · Include denial letter and clinical notes

Provider Information (saved automatically)

Provider Name

NPI Number

Practice Name

Phone Number

✍️

Upload your denial letter and clinical documents, then click
Generate Appeal Letter
to get a professional appeal
ready to copy or fax.

✍️ Appeal Analysis

Review and edit above before copying or faxing.

📠 Submit Appeal by Fax

Patient First Name *

Patient Last Name *

Date of Birth *

Member ID *

Callback Fax (where auth is faxed back) *

Recipient Fax Number *

✓ Fax submitted!

Sign In Required

Insurance denied it?
We write the winning appeal.

Sign In Required

Insurance denied it?We write the winning appeal.

Insurance denied it?
We write the winning appeal.