Insurance denied your child's therapy? I appeal that.
I build the case, handle the paperwork, and track every deadline. All handled remotely for families across California. Insurers count on parents and guardians giving up. I don't let that happen.
Appealing works more often than people think. In 2024, about
73%
of Californians who brought a denial to Independent Medical Review in 2024 got the service they asked for. Just over half were overturned by the independent reviewer. In another 22%, the health plan reversed itself as soon as the review was filed.
Those are the state's numbers across all IMR cases, not mine. But they say something worth hearing while you're staring at a denial letter: the letter is not the end of it.
Source: California Department of Managed Health Care, 2024 Annual Report
What it covers
Denial triage
I read the denial and your plan documents, identify which appeal path your plan falls under, and map every deadline.
Internal appeals and grievances
I draft and assemble the full appeal, with the medical necessity argument and the evidence behind it.
External review
When the internal appeal doesn't get there, I build the case and the complete packet for the next level, including California's Independent Medical Review for plans that qualify.
Authorization and paperwork
I handle the forms that let me work with your plan directly, so you aren’t the one sitting on hold.
Best fit if
Your insurance has denied, reduced, or delayed a therapy your child needs. Most often ABA, speech, OT, or PT.
There's a clock
In most cases you have to go through your plan's own grievance process first, generally 30 days, before an outside review is possible. Urgent cases can move faster. Every step has a deadline, and the sooner we start the more options you have.
Service area
100% remote, statewide across California.
A note on cost
California's Independent Medical Review is free to families. The review itself costs you nothing. You are paying me for the work that makes it winnable: building the medical necessity case and assembling the full packet, not the filing.